![]() ![]() The fracture itself occurs at the area where the more flexible bone at the base of the metatarsal, meets the more rigid bone of the shaft of the metatarsal. Plain x-rays will identify a Jones’ fracture. Figure 3: High arched foot strike pattern often seen in Jones’ Fracture patients Sometimes, when looking at these patients’ shoes, one will see excessive wear on the outside of the sole because of the pressure put on that part of the foot and shoe. Often they will have high arched feet and/or an alignment of the lower extremity that tends to load the outside part of their feet (Figure 3). Patients with a Jones’ fracture will have pain at the fracture site (Figure 2). It is possible to have the problem in both feet, although usually one side hurts more. However, sometimes the main symptom will be a chronic (long-term) ache in the outside part of the foot – representing a developing stress fracture of the base of the fifth metatarsal. Many patients will report a history of some pain in the foot, prior to the actual break. In most instances, the patient will describe exactly when the fracture occurred, often after landing heavily or performing some other demanding but routine activity. ![]() Patients will have difficulty bearing weight and may walk with a limp. This pain can be quite sudden corresponding to when the fracture fully breaks through the bone. Individuals who suffer a Jones’ fracture will report pain on the outside of the midfoot (Figure 2). Printable handout Figure 1: Jones Fracture Therefore, surgical treatment of Jones’ fractures is common, and it sometimes involves realigning the foot to prevent the bone from breaking again in the future. However, they may break again because the reason why they occurred (loading pattern of the foot) has not changed. These fractures can be treated with a cast or a special boot. These fractures tend to occur in people that have a high arched foot shape, or a leg shape that results in increased loading on the outside part of the foot. Therefore, activities that repetitively load the foot (for example sports with running) may lead to a Jones’ fracture. Jones fractures occur in a manner that is similar to the way that you would break a paper clip (by wiggling it back and forth over and over again). The fracture itself often occurs acutely but the repetitive stress that leads up to the sudden fracture has often built up over time. Jones Fracture (5th Metatarsal Stress Fracture)Ī “Jones’ fracture” is a special type of stress fracture of the base of the 5th metatarsal (Figure 1). ![]()
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