Abstract
Fractures of the fifth metatarsal base have garnered a significant amount of attention since Sir Robert Jones’ classic description of his own such fracture suffered while dancing.10 Despite numerous publications on the topic, controversy continues to exist regarding nomenclature, classification, indications for surgery, and optimal surgical technique.
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References
Arangio G. Transverse proximal diaphyseal fracture of the fifth metatarsal: a review of 12 cases. Foot Ankle. 1992;13:547–549.
Carp L. Fracture of the fifth metatarsal bone with special reference to delayed union. Ann Surg. 1927;86:308–320.
Chuckpaiwong B, Queen RM, Easley ME, Nunley JA. Distinguishing Jones and proximal diaphyseal fractures of the fifth metatarsal. Clin Orthop Rel Res. 2008;466:1966–1970.
Clapper MF, O’Brien TJ, Lyons PM. Fractures of the fifth metatarsal: analysis of a fracture registry. Clin Orthop Rel Res. 1995;315:238–241.
Dameron TB. Fractures and anatomical variations of the proximal portion of the fifth metatarsal. J Bone Joint Surg. 1975;57-A:788–792.
Dameron TB. Fractures of the proximal fifth metatarsal: selecting the best treatment option. J Am Acad Orthop Surg. 1995;3:110–114.
DeLee JC, Evans JP, Julian J. Stress fracture of the fifth metatarsal. Am J Sports Med. 1983;11:349–353.
Glasgow MT, Naranja RJ, Glasgow SG, Torg JS. Analysis of failed surgical management of fractures of the base of the fifth metatarsal distal to the tuberosity: the Jones fracture. Foot Ankle Int. 1996;17:449–457.
Horst F, Gilbert BJ, Glisson RR, Nunley JA. Torque resistance after fixation of Jones fractures with intramedullary screws. Foot Ankle Int. 2004;25:914–919.
Jones R. Fracture of the base of the fifth metatarsal bone by indirect violence. Ann Surg. 1902;35:697–700.
Josefsson PO, Karlsson M, Redlund-Johnell I, Wendeberg B. Jones fracture: surgical versus nonsurgical treatment. Clin Orthop Rel Res. 1994;299:252–255.
Kavanaugh JH, Brower TD, Mann RV. The Jones fracture revisited. J Bone Joint Surg. 1978;60-A:776–782.
Kelly IP, Glisson RR, Fink C, Easley ME, Nunley JA. Intramedullary screw fixation of Jones fractures. Foot Ankle Int. 2001;22:585–589.
Konkel KF, Menger AG, Retzlaff SA. Nonoperative treatment of fifth metatarsal fractures in an orthopaedic suburban private multispecialty practice. Foot Ankle Int. 2005;26:704–707.
Larson CM, Almekinders LC, Taft TN, Garrett WE. Intramedullary screw fixation of Jones fractures: analysis of failure. Am J Sports Med. 2002;30:55–60.
Lawrence SJ, Botte MJ. Foot Fellow’s review: Jones’ fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. 1993;14:358–365.
Lehman RC, Torg JS, Pavlov H, DeLee JC. Fractures of the base of the fifth metatarsal distal to the tuberosity: a review. Foot Ankle. 1987;7:245–252.
Mindrebo N, Shelbourne D, Van Meter CD, Rettig AC. Outpatient percutaneous screw fixation of the acute Jones fracture. Am J Sports Med. 1993;21:720–723.
Nunley JA. Fractures of the base of the fifth metatarsal: the Jones fracture. Orthop Clin North Am. 2001;32:171–180.
Nunley JA. Jones fracture technique. Techn Foot Ankle Surg. 2002;1:131–137.
Pietropaoli MP, Wnorowski DC, Werner FW, Fortino MD. Intramedullary screw fixation of Jones fractures: a biomechanical study. Foot Ankle Int. 1999;20:560–563.
Porter DA, Duncan M, Meyer SJF. Fifth metatarsal Jones fracture fixation with a 4.5-mm cannulated stainless steel screw in the competitive and recreational athlete: a clinical and radiographic evaluation. Am J Sports Med. 2005;33:726–733.
Portland G, Kelikian A, Kodros S. Acute surgical management of Jones’ fractures. Foot Ankle Int. 2003;24:829–833.
Quill GE. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. 1995;26:353–361.
Reese K, Litsky A, Kaeding C, Pedroza A, Shah N. Cannulated screw fixation of Jones fractures: a clinical and biomechanical study. Am J Sports Med. 2004;32:1736–1742.
Rosenberg GA, Sferra JJ. Treatment strategies for acute fractures and nonunions of the proximal fifth metatarsal. J Am Acad Orthop Surg. 2000;8:332–338.
Sarimo J, Rantanen J, Orava S, Alanen J. Tension-band wiring for fractures of the fifth metatarsal located in the junction of the proximal metaphysis and diaphysis. Am J Sports Med. 2006;34:476–480.
Shah SN, Knoblich GO, Lindsey DP, Kreshak J, Yerby SA, Chou LB. Intramedullary screw fixation of proximal fifth metatarsal fractures: a biomechanical study. Foot Ankle Int. 2001;22:581–584.
Sides SD, Fetter NL, Glisson R, Nunley JA. Bending stiffness and pull-out strength of tapered, variable pitch screws, and 6.5-mm cancellous screws in acute Jones fractures. Foot Ankle Int. 2006;27:821–825.
Stewart IM. Jones’s fracture: fracture of the base of the fifth metatarsal. Clin Orthop. 1960;16:190–198.
Torg JS, Balduini FC, Zelko RR, Pavlov H, Peff TC, Das M. Fractures of the base of the fifth metatarsal distal to the tuberosity: classification and guidelines for non-surgical and surgical management. J Bone Joint Surg. 1984;66-A:209–214.
Tsaknis R, Leumann A, Valderrabano V, Pagenstert G, Hintermann B. Fixation of proximal fifth metatarsal fractures. Techn Foot Ankle Surg. 2008;7:115–119.
Vertullo CJ, Glisson RR, Nunley JA. Torsional strains in the proximal fifth metatarsal: implications for Jones and stress fracture management. Foot Ankle Int. 2004;25:650–656.
West RV. The female athlete: the triad of disordered eating, amenorrhea, and osteoporosis. Sports Med. 1998;26:63–71.
Wright RW, Fischer DA, Shively RA, Heidt RS, Nuber GW. Refracture of proximal fifth metatarsal (Jones) fracture after intramedullary screw fixation in athletes. Am J Sports Med. 2000;28:732–736.
Zelko RR, Torg JS, Rachun A. Proximal diaphyseal fractures of the fifth metatarsal – treatment of the fractures and their complications in athletes. Am J Sports Med. 1979;7:95–101.
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Scott, A.T., Nunley, J.A. (2010). Percutaneous Fixation of Proximal Fifth Metatarsal Fractures. In: Maffulli, N., Easley, M. (eds) Minimally Invasive Surgery of the Foot and Ankle. Springer, London. https://doi.org/10.1007/978-1-84996-417-3_16
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