![]() Proximal Fifth Metatarsal Fractures: Anatomy, Classification, Treatment and Complications. Acute fractures to the proximal fifth metatarsal bone: development of classification and treatment recommendations based on the current evidence. Currently, it is accepted that tuberosity avulsion fractures are ‘pseudo-Jones fractures’. Specifically, there are two types of fractures of the fifth metatarsal bone: The Jones fracture and the tuberosity avulsion (styloid) fracture. Polzer H, Polzer S, Mutschler W, Prall WC. Avulsion fractures: An avulsion fracture on the 5th metatarsal bone is called a ‘dancer’s fracture’.Fractures of the fifth metatarsal diagnosis and treatment. The epidemiology of metatarsal fractures. Fractures of the fifth metatarsal are common injuries that must be recognized and treated appropriately to avoid poor clinical outcomes for the patient. Jones’ fractures and related fractures of the proximal fifth metatarsal. Jones fracture of the fifth metatarsal: Is operative intervention justified A systematic review of the literature and meta-analysis of results 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. Jones fracture surgery is recommended when the fracture is not healing well or re-fracture. Fractures of the base of the fifth metatarsal distal to the tuberosity. Surgical Treatment of 5th Metatarsal Jones and Stress Fractures. Classification and guidelines for non-surgical and surgical management. Fractures of the base of the fifth metatarsal distal to the tuberosity. Torg JS, Balduini FC, Zelko RR, Pavlov H, Peff TC, Das M.Jones’s fracture: fracture of base of fifth metatarsal. Fracture of the Base of the Fifth Metatarsal Bone by Indirect Violence. He named the latter: ‘ Jones fracture’.ġ984 – Torg et al reported fractures of proximal diaphysis are likely located at a site of pre-existing stress pressure.ġ993 – Lawrence and Botte release a classification system distinguishing 3 zones A Jones fracture can be either a stress fracture (a tiny hairline break that occurs over time) or an acute (sudden) break. 1902: 697ġ960 – Stewart differentiated an avulsion fracture of the tuberosity / styloid from fractures of the proximal diaphysis. Several types of fractures can occur in this. This was done, and the fifth metatarsal was found fractured about three-fourths of an inch from its base. A Jones (5th Metatarsal) Fracture is a fracture of the base of the fifth metatarsal (long bone of the forefoot). I hobbled down-stairs to my colleague…to X-ray my foot. There was a slight swelling over the base of the fifth metatarsal bone… A finger on the spot gave exquisite pain…Extension of the ankle and flexion of the toes were immediately felt at the base of the fifth metatarsal. Something gave way midway down my foot, and I at once suspected a rupture of the peroneus longus tendon…The following morning I carefully examined my foot and discovered that my tendon was intact. Whilst dancing, I trod on the outer side of my foot, my heel at the moment being off the ground. ![]()
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