6/7/2023 0 Comments Jones fracture foot![]() They can cause pain and limit your activities significantly. Surgery may be the best option to minimize healing complications and get you back on the field as soon as possible.Jones Fractures are common injuries that occur in the foot. If you are faced with this injury, be sure to consult with your doctor about the best course of action for you. Jones fracture surgery is a common procedure with high success rates. If a patient smokes, cessation is encouraged as this significantly impairs bone healing. Vitamin D supplementation is encouraged and if a patient has been significantly deficient in the past checking the vitamin D level in the blood could be considered. I will always recommend surgery to my active/athletic population. ![]() ![]() This can be minimized by undergoing surgery to have the fracture stabilized with orthopedic hardware. The biggest risk associated with a Jones fracture is a delayed or non-union. What are the risks associated with a Jones fracture, and how can they be minimized? Return to baseline athletics should only be considered once the bone appears fully healed on an x-ray which is usually a few months after the injury. Physical therapy is commenced once the sutures are removed and the patient is transitioned into the CAM boot. If everything appears stable, sometimes protected weight bearing can be initiated in a CAM walker. At the 2-week post-op appointment sutures are removed and updated imaging is obtained. A splint is applied to the leg and the patient needs to remain non-weight bearing (crutches, knee scooter, iWalk, etc…). Once the screw is inserted, a few sutures are placed to close the small incision. A small incision is placed just beyond the bone and using orthopedic fixation techniques and intra-operative x-ray, a screw can be inserted. This is called an intramedullary screw because it sits inside the inner canal of the bone to keep the fracture stable. In most cases, a single screw can be applied through a minimally invasive approach. Usually, the procedure takes no more than 45 minutes. Surgery is performed under anesthesia at the hospital or surgical center and the patient goes home the same day. Surgical treatment is recommended in most cases especially for the active/athletic population to minimize complications associated with decreased blood flow at the side of the fracture. This option is typically chosen for patients who are not as active and requires strict non-weight bearing either in a fiberglass cast or removable boot until some healing is seen on the x-ray. Non-surgical management includes rest, ice, elevation, and immobilization in a boot or cast. Treatment options for a Jones fracture include conservative (non-surgical) or surgical management. Once the diagnosis is made, treatment options can be discussed. A CT scan is a more accurate way to assess the extent of healing compared to a conventional x-ray. Usually, advanced imaging studies are ordered when a Jones fracture either goes undiagnosed and presents as a delayed or non-union, or if the fracture is treated non-surgically or surgically and delayed healing is encountered. X-rays are typically the first line of imaging and all that is necessary so an MRI and CT scan is usually not necessary unless other injuries are suspected. The diagnosis of a Jones fracture is made with a combination of medical history, physical examination, and imaging studies. After the injury, the usual signs of trauma will develop like swelling, bruising, and redness. Pain will occur at the site of the injury and the patient will have difficulty walking. The mechanism of injury involves landing on the outside part of the foot causing the front of the foot to bend the break occurs at the base of the 5th metatarsal. This is an extremely common sports injury and is common amongst NFL athletes. Injuries can occur in a variety of ways including overuse (like a stress fracture), twisting the foot, direct trauma (car driving over the foot), and landing incorrectly. The metatarsals are the next layer of bones that connects with all the toes. This is called the “watershed” zone of the metatarsal and can predispose the healing process to a delay-union (takes longer than expected to heal) or a non-union (doesn’t heal at all). This type of fracture can be difficult to treat because it just so happens to occur at a location in the metatarsal bone where the blood flow is reduced. What is a Jones fracture?Ī Jones fracture is a break in the fifth metatarsal bone of the foot at a very specific location. In this blog post, we will discuss Jones fracture management and when to fix it surgically. This type of fracture can be difficult to heal. A Jones fracture is a break in the fifth metatarsal bone of the foot.
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