User:Mr. Ibrahem/Jones fracture
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| Jones fracture | |
|---|---|
| Other names | Fracture of the metaphysis of the fifth metatarsal[1] |
 | |
| Jones fracture as seen on Xray | |
| Specialty | Emergency medicine, orthopedics |
| Symptoms | Pain near the midportion of the foot on the outside, bruising[2][3] |
| Usual onset | Sudden[4] |
| Duration | 6-12 weeks to heal[5] |
| Causes | Bending the foot inwards when the toes are pointed[6] |
| Diagnostic method | Based on symptoms, X-rays[3] |
| Differential diagnosis | Pseudo-Jones fracture, normal growth plate[3][7] |
| Treatment | Non-weight bearing, cast, surgery[5] |
| Frequency | Relatively rare[8] |
A Jones fracture is a break between the base and middle part of the fifth metatarsal of the foot.[9] It results in pain near the midportion of the foot on the outside.[2] There may also be bruising and difficulty walking.[3] Onset is generally sudden.[4]
The fracture typically occurs when the toes are pointed and the foot bends inwards.[2][6] This movement may occur when changing direction while the heel is off the ground such in dancing, tennis, or basketball.[10][11] Diagnosis is generally suspected based on symptoms and confirmed with X-rays.[3]
Initial treatment is typically in a cast, without any walking on it, for at least six weeks.[5] If after this period of time healing has not occurred a further six weeks of casting may be recommended.[5] Due to poor blood supply in this area, the break sometimes does not heal and surgery is required.[3] In athletes or if the pieces of bone are separated surgery may be considered sooner.[5][9] The fracture was first described in 1902 by orthopedic surgeon Robert Jones, who sustained the injury while dancing.[4][12]
References[edit]
- ^ "5th Metatarsal". Emergency Care Institute, New South Wales. 2017-09-19. Archived from the original on 2019-07-29. Retrieved 2019-07-29.
- ^ a b c Eltorai, Adam E. M.; Eberson, Craig P.; Daniels, Alan H. (2017). Orthopedic Surgery Clerkship: A Quick Reference Guide for Senior Medical Students. Springer. pp. 395–397. ISBN 9783319525679. Archived from the original on 2017-10-15.
- ^ a b c d e f "Toe and Forefoot Fractures". OrthoInfo - AAOS. June 2016. Archived from the original on 16 October 2017. Retrieved 15 October 2017.
- ^ a b c Valderrabano, Victor; Easley, Mark (2017). Foot and Ankle Sports Orthopaedics. Springer. p. 430. ISBN 9783319157351. Archived from the original on 2017-10-15.
- ^ a b c d e Bica, D; Sprouse, RA; Armen, J (1 February 2016). "Diagnosis and Management of Common Foot Fractures". American Family Physician. 93 (3): 183–91. PMID 26926612.
- ^ a b Dähnert, Wolfgang (2011). Radiology Review Manual. Lippincott Williams & Wilkins. p. 96. ISBN 9781609139438. Archived from the original on 2017-10-15.
- ^ Conaghan, Philip G.; O'Connor, Philip; Isenberg, David A. (2010). Musculoskeletal Imaging. OUP Oxford. p. 231. ISBN 9780191575273. Archived from the original on 2017-10-15.
- ^ Raby, Nigel; Berman, Laurence; Morley, Simon; Lacey, Gerald de (2014). Accident and Emergency Radiology: A Survival Guide E-Book. Elsevier Health Sciences. p. 301. ISBN 978-0-7020-5031-2. Archived from the original on 2021-08-28. Retrieved 2020-11-25.
- ^ a b Joel A. DeLisa; Bruce M. Gans; Nicholas E. Walsh (2005). Physical Medicine and Rehabilitation: Principles and Practice. Lippincott Williams & Wilkins. pp. 881–. ISBN 978-0-7817-4130-9. Archived from the original on 2017-01-07.
- ^ Mattu, Amal; Chanmugam, Arjun S.; Swadron, Stuart P.; Tibbles, Carrie; Woolridge, Dale; Marcucci, Lisa (2012). Avoiding Common Errors in the Emergency Department. Lippincott Williams & Wilkins. p. 790. ISBN 9781451152852. Archived from the original on 2017-10-16.
- ^ Lee, Edward (2017). Pediatric Radiology: Practical Imaging Evaluation of Infants and Children. Lippincott Williams & Wilkins. p. Chapter 24. ISBN 9781496380272. Archived from the original on 2017-10-15.
- ^ Jones, Robert (Jun 1902). "I. Fracture of the Base of the Fifth Metatarsal Bone by Indirect Violence". Annals of Surgery. 35 (6): 697–700. PMC 1425723. PMID 17861128.