Jones Fracture

5th metatarsal base fractures, specifically termed a Jones Fracture depending on location, can be tremendously difficult to treat and recover from for a multitude of reasons. The location of the fracture is not favorable in terms of perfusion/blood supply which slows healing capabilities. Furthermore, the 5th metatarsal bears a large amount of weight and has tremendous stress through the bone. Think of a small fragile stick being placed under a large amount of stress, the result is concerning at time. Proper treatment consists of absolute non-weightbearing, dedicated PRICE (protect, rest, ice, compression and elevation), and a bone stimulator if feasible. For certain patients who require/desire a faster recovery, surgery is often favorable. While open techniques are available and consist of various plates/screws, I’ve found a simple percutaneous approach is the was to go. It’s simpler, faster, less traumatic and effective. While the size, angle and shape of the 5th metatarsal can often make this percutaneous (through the skin) technique challenging, proper patient positioning and use of live X-ray in the OR can make the technique much simpler. Pleased to see this patient from a few years ago back for another issue, screw and 5th metatarsal seem perfectly in place with excellent outcome.