Summary
A transverse fracture of the proximal part of the fifth metatarsal is rarely caused by direct trauma but is usually secondary to overload [8]. These fractures, when treated conservatively, have a high recurrence rate and give rise to prolonged sporting inactivity. The clinical and radiographical difference between an acute versus a stress fracture will decide on further treatment. A reversed graft, by an asymmetrical trapezoid autograft, offers a simple and effective surgical solution for non-union and delayed union of Jones fractures in sportsmen.
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References
Dameron TB (1975) Fractures and anatomical variations of the proximal position of the fifth metatarsal. J Bone Joint Surg [Am] 57:788–792
Delee JC (1983) Stress fracture of the fifth metatarsal. Am J Sports Med 11:349–353
Drez D (1980) Metatarsal stress fractures. Am J Sports Med 8:123–125
Kavanaugh JH (1978) The Jones fractures revisited. J Bone Joint Surg [Am] 60:776–782
Lehman RC (1987) Fractures of the basis of the fifth metatarsal: a review. Foot Ankle 7:245–252
Stewart IM (1960) Jones's fracture: fracture of base of fifth metatarsal. Clin Orthop 16:190–198
Whiteside JA (1981) Fractures and refractures in intercollegiate athletes. Am J Sports Med 9:369–376
Zelko RR (1979) Proximal diaphyseal fractures of the fifth metatarsal. Am J Sports Med 7:95–101
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Hens, J., Martens, M. Surgical treatment of Jones fractures. Arch Orthop Trauma Surg 109, 277–279 (1990). https://doi.org/10.1007/BF00419944
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DOI: https://doi.org/10.1007/BF00419944