By Josh Martin, ATC
A Jones Fracture is a type of fracture that occurs at the base of the fifth metatarsal “Pinky Toe.” This fracture is commonly seen in athletes or individuals with Pes Cavus, or High Arch Feet.
Individuals experiencing Pes Cavus typically have an abnormal gait pattern resulting in an increase in pressure/weight over the fifth metatarsal. Jones fractures can be categorized as a stress fracture (small fracture that occurs overtime) or an acute fracture (sudden break).
- Difficulty walking.
- Sharp stabbing pain on the outside of foot.
- Swelling on outside border of foot.
- Bruising and discoloration.
Jones Fractures generally are challenging to treat due to the lack of blood supply to the area. Typically, treatments consist of either casting and/or surgery. To determine which treatment option is best, imaging such as an X-ray must be performed to diagnose the severity of the break. After imaging, your doctor will determine if surgery is necessary. If surgery is required, plates and screws will be fixated down the shaft of the fifth metatarsal bone. The recovery process for operative and non-operative patients are very similar. Both consist of non-weight bearing immobilization of the foot and ankle for 6-8 weeks. Following immobilization, physical therapy will be required to regain full function and strength of the foot and ankle.
By: Josh Martin, ATC