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A Jones fracture is a broken bone in a specific part of the fifth metatarsal of the foot between the base and middle part [8] that is known for its high rate of delayed healing or nonunion. [4] 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 fifth metatarsal bone is a long bone in the foot, and is palpable along the distal outer edges of the feet. It is the second smallest of the five metatarsal bones. The fifth metatarsal is analogous to the fifth metacarpal bone in the hand. [1] As with the four other metatarsal bones it can be divided into three parts; a base, body and head.
The first metatarsal bone articulates with the first cuneiform; the second is deeply wedged in between the first and third cuneiforms articulating by its base with the second cuneiform; the third articulates with the third cuneiform; the fourth, with the cuboid and third cuneiform; and the fifth, with the cuboid.
These fractures are sometimes called march fractures, based on their traditional association with military recruits after long marches. The second and third metatarsals are fixed while walking, thus these metatarsals are common sites of injury. The fifth metatarsal may be fractured if the foot is oversupinated during locomotion. [9]
Proximal fractures of 5th metatarsal. The tuberosity avulsion fracture (also known as pseudo-Jones fracture or dancer's fracture [2] is a common fracture of the fifth metatarsal (the bone on the outside edge of the foot extending to the little toe). [3] This fracture is likely caused by the lateral band of the plantar aponeurosis (tendon). [4]
Tailor's bunion, also known as digitus quintus varus or bunionette, is a condition caused as a result of inflammation of the fifth metatarsal bone at the base of the little toe. [1] It is usually characterized by inflammation, pain and redness of the little toe. Often a tailor's bunion is caused by a faulty mechanical structure of the foot.
Bone healing, or fracture healing, is a proliferative physiological process in which the body facilitates the repair of a bone fracture. Generally, bone fracture treatment consists of a doctor reducing (pushing) displaced bones back into place via relocation with or without anaesthetic, stabilizing their position to aid union, and then waiting ...
When the base of the fifth metatarsal is fractured, the fibularis brevis may pull on and displace the upper fragment (known as a Jones fracture). An inversion sprain of the foot may pull the tendon such that it avulses the tuberosity at the base of the fifth metatarsal. Fibularis brevis split tears are not uncommon a source of lateral ankle pain.
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