![]() Initially, you may find walking on the foot painful and it can help to walk on the heel or use crutches.Your foot will have been placed into a moon boot (removable boot) or a cast by the ED doctors - you can take the moon boot off to shower and change.Pain and swelling where you have injured your foot should improve over several weeks/months.This type of break is common and normally heals well without an operation. ![]() You have broken a bone on the outside of your foot.Contact us Publications News and notices About us For staff.Whānau support interviews | Te tautoko a te whānau.Living and working in the Bay of Plenty.RMO positions (Registrars, SHOs, House Officers).Nursing resources (Lippincott Procedures).Bay of Plenty Clinical Trials Unit (BOPCTU).Kia ora, welcome to our Clinical Campus.Kaupapa Māori governance, service profiles and operational relationships.Public health resources and publications.Find GPs, social services, pharmacies, Pathlabs, and other health services near you.Support Net | Disability services and support.Pressure injury prevention and management.Isolated Fibular Shaft Fracture - Adult.Finger dislocation (no fracture) - PIP Dorsal.DIP Dorsal Finger dislocation (no fracture).Information for children aged 0-4 years.Our FREE oral health and dental care services.Hauora a Toi Bay of Plenty National Bowel Screening Programme Pānui.Stories from Bowel Screening Tāngata Rongonui | Local Champions.What is the National Bowel Screening Programme (NBSP), and how does it work?.No smoking or vaping for patients and visitors.Are you eligible for publicly funded health and disability care?.Spiritual support and hospital chaplains.Key support person and patient advocates.Getting to hospital, parking information and facilities.Fifth Metatarsal Fractures and Current Treatment. Zone II and III Fifth Metatarsal Fractures in Athletes. A Look Back in Time: Sir Robert Jones, 'Father of Modern Orthopaedics'. Fractures of Proximal Portion of Fifth Metatarsal Bone: Anatomic and Imaging Evidence of a Pathogenesis of Avulsion of the Plantar Aponeurosis and the Short Peroneal Muscle Tendon. Theodorou D, Theodorou S, Kakitsubata Y, Botte M, Resnick D. ![]() Fracture of the Base of the Fifth Metatarsal Bone by Indirect Violence. Avulsion Fracture of the Base of the Fifth Metatarsal Not Seen on Conventional Radiography of the Foot: The Need for an Additional Projection. Distinguishing Jones and Proximal Diaphyseal Fractures of the Fifth Metatarsal. Chuckpaiwong B, Queen R, Easley M, Nunley J. Internal fixation and even bone grafting may be required in cases of non-union, or where the fracture is significantly displaced. The outcomes are similar with almost 100% union rates 7. Management includes either intramedullary screw fixation or open reduction and internal fixation (ORIF is also the main management option as a salvage procedure when there is non-union following screw fixation) 7. Operative management is indicated in patients that are elite or competitive athletes or in non-operatively managed fractures when delayed union has occurred 7,8. Relative to avulsion fractures, Jones fractures are particularly prone to non-union (with rates as high as 30-50%) due to being in a vascular watershed zone, and almost always take longer than two months to heal 2.ĭisplacement of the fracture can increase with persistent weight-bearing, therefore, immobilisation is important as part of the initial therapy, with a non-weight bearing cast for 6-8 weeks. Indications for non-operative management include undisplaced fractures and fractures in patients with limited activity (i.e. Jones fracture is located at the metadiaphyseal junction, approximately 2 cm (1.5-3 cm) from the tip of the 5 th metatarsal, and has a predominantly horizontal course. Radiographic features Plain radiograph/CT The fracture is believed to occur as a result of significant adduction force to the forefoot with the ankle in plantar flexion 5. It is a transverse fracture at the base of the fifth metatarsal, 1.5 to 3 cm distal to the proximal tuberosity at the metadiaphyseal junction, without distal extension.
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