![]() Surgical intervention is recommended for patients presenting with a Jones fracture as it is found to result in a lesser non-union rate and an improved time to union.Ĭonservative Jones fracture Management Nonunion Surgical Time to union.Ĭopyright © 2015 Elsevier Ltd. Diagnosis is made with plain radiographs of the foot. Reload page Frontal Transverse fracture through the proximal 5th metatarsal, not involving the articular surface in favor of Jones fracture. 17 Expert Comments Topic Podcast Images SUMMARY 5th Metatarsal Base Fractures are among the most common fractures of the foot and are predisposed to poor healing due to the limited blood supply to the specific areas of the 5th metatarsal base. If the problem continues send us an email to let us know. Of the trials with time to union as an outcome measure, 3 of 4 trials found favourable results in the operative cohort. Patient Data Age: 35 years Gender: Male x-ray Unable to load images Please try reloading the page. Fracture of the fifth metatarsal’s base is one of the most common stress fractures encountered in the lower extremities 14.The fracture is characterized by a transverse disruption at the diaphyseal and metaphyseal junction of the proximal 1/3 rd of the metatarsal bone. Important: if you are a patient at the Great Western Hospital and have a query, please. Even with excellent surgical technique and postoperative management, a delayed union and refracture can occur. Studies also reported a prolonged healing time and a longer time to return to sports. Virtual Fracture Clinic: Injuries: Foot: Jones fifth metatarsal fracture. Abstract A Jones fracture, located at the metaphyseal-diaphyseal junction of the fifth metatarsal, is at an increased risk for nonunion and continued pain. Those in the non-operative group were found to have a significantly higher odds ratio (OR) of fracture non-union (OR 5.74, 95% confidence interval (CI) 2.65-12.40, P<0.001). Of these, 51% were treated non-operatively, and 49% had surgical intervention. Six relevant studies were included, with a total of 237 patients. 5th metatarsal base fractures are common traumatic fractures among athletic populations that are notorious for nonunion due to tenuous blood supply. Six studies were found evaluating operative therapy compared to conservative treatment. ![]() conservative management in the treatment of the Jones fracture.Ī systematic review using four databases from their inception until September 2014 was undertaken. ![]() ![]() However, certain situations may require surgical treatment. The majority of fifth metatarsal fractures are treated without surgery. This study assesses the outcomes of surgical vs. Usually, a surgical procedure to treat a Jones fracture will involve the inserting of a screw into the metatarsal bone. The fifth metatarsal is the last bone at the outside of the foot, and most breaks of the fifth metatarsal occur at the base. ![]()
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