![]() We found simple ruler measurement from the proximal tip of the fifth metatarsal to the fracture to help determine this "at-risk" group and found a significant difference in those patients with a fracture of <20 mm compared with those 20 to 40 mm from the tip this can help guide treatment and counsel patients. However, a region of this bone is known to have trouble healing, and it can be difficult to identify these "at-risk" fractures in the clinical setting. This was a statistically significant correlation (P=0.0157).Īlthough fractures of the fifth metatarsal are common, need for surgery in these fractures is not. ![]() Fractures that occurred between 20 and 40 mm (or 25% to 50% of overall metatarsal length) from the proximal tip went on to surgery in 18.8% (6/32) of the time, whereas those that occurred between <20 mm had surgery in 4.9% (9/184). Jones criteria for fracture location were predictive of needing surgery (P<0.01) but confusing in the clinic setting. Most surgical indications were failure to heal in a timely manner or refracture and all patients underwent a trial of nonoperative treatment. Patients and fracture characteristics were then compared.Ī total of 238 fractures were included and 15 were treated surgically. Radiographs were reviewed for location of fracture and fracture displacement. Patient demographics, treatment, and complications were noted. The purpose of this study was to retrospectively assess patterns of fifth metatarsal fracture that led to surgical fixation in an attempt to predict the likelihood for surgery in these injuries.Ī retrospective review was performed on patients aged 18 and under who were treated for an isolated fifth metatarsal fracture from 2003 through 2010 at our pediatric hospital. The "Jones" fracture is known to be in a watershed region that often leads to compromised healing, however, a "true Jones" fracture can be difficult to determine, and its impact on healing in pediatric patients is not well described. Growth plate injuries around the wrist and shoulder usually heal without problems.Fractures of the fifth metatarsal bone are common and surgery is uncommon. A growth plate fracture at the knee can cause the leg to be shorter, longer or crooked if the growth plate has permanent damage. The growth plates around the knee are more sensitive to injury. ![]() ![]() If a child is almost done growing, permanent damage to the growth plate may cause only minimal deformity. Younger children have more years of growth ahead of them, so if the growth plate is permanently damaged, there is more chance of deformity developing. If the growth plate has been shifted, shattered or crushed, the risk of limb deformity is greater. But the following factors can increase the risk of crooked, accelerated or stunted bone growth. A Jones Fracture can either be a stress fracture (a small hairline break that occurs due to repetitive stress) or an acute (sudden) fracture. Several types of fractures can occur in this area, and some require more treatment than others. Most growth plate fractures heal with no complications. A Jones (5th Metatarsal) Fracture is a fracture of the base of the fifth metatarsal (long bone of the forefoot). By the age of 12, most girls' growth plates have already matured and been replaced with solid bone. Growth plate fractures occur twice as often in boys as in girls, because girls finish growing earlier than do boys. Treatment may be nonoperative or operative depending on the specific metatarsal involved, number of metatarsals involved, and fracture displacement. Diagnosis is made with plain radiographs of the foot. Growth plate fractures can occasionally be caused by overuse, which can occur during sports training or repetitive throwing. Metatarsal fractures are among the most common injuries of the foot that may occur due to trauma or repetitive microstress. Recreational activities, such as biking, sledding, skiing or skateboarding.Competitive sports, such as football, basketball, running, dancing or gymnastics.Growth plate fractures often are caused by a fall or a blow to the limb, as might occur in:
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