A review of 12 cases of transverse proximal diaphysial fractures 3.0 cm distal from the fifth metatarsal tuberosity with a 2-year follow-up is presented. Six cases treated with percutaneous pinning, cast, and partial weightbearing with crutches and six cases treated with cast, partial weightbearing, and crutches are analyzed by classification, age, and average time to union. The healing times were the same in both groups.
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References
1.
. ArangioG.A.: Proximal diaphyseal fractures of the fifth metatarsal (Jones fracture): two cases treated by cross-pinning with review of 106 cases. Foot Ankle, 3 (5): 293–296, 1983.
2.
. ArangioG.A.: The Jones fracture-transverse proximal diaphyseal fractures of the fifth metatarsal: frequency by radiology. The Foot, 1: 201–204, 1992.
3.
. ChristopherF.: Fractures of the fifth metatarsal. Surg. Gynecol. Obstet, 37: 190–194, 1923.
4.
. DeLeeJ.C.EvansJ.P.JulianJ.: Stress fractures of the fifth metatarsal. Am. J. Sports Med., 11 (5): 349–353, 1983.
. GreggJ.R.DasM.: Foot and ankle problems in the preadolescent and adolescent athlete. Clin. Sports Med., 1 (1): 131–147, 1982.
8.
. JaworekT.E.: The intrinsic vascular supply to the first and lesser metatarsals: surgical considerations. Sixth Annual North-lake Surgical Seminar, Chicago, IL, 1976.
9.
. JonesR.: Fracture of the base of the fifth metatarsal by indirect violence. Ann. Surg., 35: 697–700, 1902.
10.
. KeeneJ.S.LangeR.H.: Diagnostic dilemmas in foot and ankle injuries. J. A. M. A., 256: 247–251, 1986.
11.
. LehmanR.C.TorgJ.S.PavlovH.DeLeeJ.C.: Fractures of the base of the fifth metatarsal distal to the tuberosity a review. Foot Ankle, 7 (4): 245–252, 1987.
12.
. MindreboN.: Outpatient percutaneous screw fixation of the acute Jones fracture. Proceedings of the American Orthopedic Foot and Ankle Society, Seventh Annual Summer Meeting, Boston, MA, July 1991.
13.
. RichliW.R.RosenthalO.I.: Avulsion fracture of the fifth metatarsal: experimental study of pathomechanics. Am. J. Radiol., 143: 889–891, 1984.
14.
. SalatheE.P.Jr.ArangioG.A.SalatheE.P.: An application of beam theory to determine the stress and deformation of long bones. J. Biomech., 22 (3): 188–189, 1989.
15.
. SeitzW.H.GranthamS.A.: The Jones fracture in the nonathlete. Foot Ankle, 6 (2): 97–100, 1985.
16.
. TorgJ.S.BalduiniF.C.ZelkoR.R.PavlovH.PeffT.C.DasM.: Fractures of the base of the fifth metatarsal distal to the tuberosity. J. Bone Joint Surg., 66 (2): 209–214, 1984.
17.
. ZogbyR.G.BakerB.: A review of nonoperative treatment of Jones fracture. Am. J. Sports Med., 15 (4): 304–307, 1987.