![]() ![]() Our study suggests that non-operative management of minimally displaced Jones fractures, in the adult, low demand population, without weight bearing restrictions in a walking boot offers similar outcomes to cast immobilization with weight bearing restrictions, resulting in bony union or asymptomatic fibrous nonunion.įifth metatarsal fracture Functional treatment Jones fractures Outcomes.Ĭopyright © 2021 Elsevier Ltd. Due to a lack of clear guidelines, it can be difficult for the multiple medical specialties involved to evaluate and treat this injury. Controversy still exists as to the best treatment methodology for acute Jones fractures. The remaining 13 patients were asymptomatic at their final clinic appointment. Only two (13.3%) of the 15 patients with partial union were seen at least six months from time of injury, one of whom had ongoing pain but declined surgery. This begins after surgery and initial recovery steps, including being in a cast and staying off of the affected foot. Thirty (66.7%) patients in the WBAT group demonstrated radiographic union on final radiographs. Physical therapy can help you start walking after a Jones fracture by improving your overall foot and ankle range of motion, strength, and functional mobility. Three patients in each group (6.4% WBAT, 37.5% NWB) developed painful nonunion leading to surgical fixation. They were followed radiographically by an orthopedic surgeon for an average of 6.4 and 15.5 months, respectively. 47 were treated weight bearing as tolerated (WBAT) in a walking boot and eight were treated non-weight bearing (NWB) in a cast. A retrospective review of 55 adult patients who sustained acute, closed Jones fractures was conducted. Doctors sometimes recommend surgical treatment to treat such a fracture, especially if you are active or. This study hypothesizes that patients will not require future operative intervention following functional treatment. Jones fractures remain relatively easy to reinjure. This study analyzes outcomes after treating adults with acute Jones fractures non-operatively without weight bearing restrictions in a walking boot. Due to conflicting results, the most appropriate treatment method remains unclear. Some studies have assessed immediate weight bearing following a Jones fracture. A CT scan can be useful to gauge fracture healing. An MRI may be helpful if the fracture is not seen on X-ray. ![]() ![]() Classically, treatment consists of weight bearing restrictions in a cast or surgical fixation. What are the Treatment Options for Jones Fractures A Jones fracture can be treated through a combination of conservative approach and surgery. A Jones fracture typically is visible on X-rays of the injured foot. Jones fractures, or proximal metatarsal fractures at the level of the fourth and fifth intermetatarsal junction, have a high risk for nonunion due to a vascular watershed region. ![]()
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