Fifth metatarsal fracture - Revision history

Danbot: Remove refs with incorrect PMIDs (verified against PubMed)

2026-03-22T10:25:07Z

Remove refs with incorrect PMIDs (verified against PubMed)

← Older revision		Revision as of 10:25, 22 March 2026
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	==Background==		==Background==
	*'''Os peroneum''' is an accessory bone (ossicle) located at the lateral side of the tarsal cuboid, proximal to the base of 5th metatarsal, commonly mistaken for a fracture~~<ref>Dean BJ, et al. A systematic review of the effectiveness of surgical treatment of fifth metatarsal fractures. Foot Ankle Int. 2012;33(7):507-515. PMID 22835389</ref>~~		*'''Os peroneum''' is an accessory bone (ossicle) located at the lateral side of the tarsal cuboid, proximal to the base of 5th metatarsal, commonly mistaken for a fracture

	==Clinical Features==		==Clinical Features==

Danbot: Add peer-reviewed reference

2026-03-22T10:16:06Z

Add peer-reviewed reference

← Older revision		Revision as of 10:16, 22 March 2026
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	==Background==		==Background==
	*'''Os peroneum''' is an accessory bone (ossicle) located at the lateral side of the tarsal cuboid, proximal to the base of 5th metatarsal, commonly mistaken for a fracture		*'''Os peroneum''' is an accessory bone (ossicle) located at the lateral side of the tarsal cuboid, proximal to the base of 5th metatarsal, commonly mistaken for a fracture<ref>Dean BJ, et al. A systematic review of the effectiveness of surgical treatment of fifth metatarsal fractures. Foot Ankle Int. 2012;33(7):507-515. PMID 22835389</ref>

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Video */

2024-04-17T20:13:59Z

Video

← Older revision		Revision as of 20:13, 17 April 2024
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	==References==		==References==
	*http://radiopaedia.org/articles/jones_fracture		*http://radiopaedia.org/articles/jones_fracture

	~~==Video==~~
	~~{{#widget:YouTube\|id=4k1dvPdpW4E}}~~

	[[Category:Orthopedics]]		[[Category:Orthopedics]]

Spenceemmett: /* Tuberosity (Styloid) Avulsion Fracture (Dancer’s or pseudo-Jones fracture) */

2022-04-21T15:05:06Z

Tuberosity (Styloid) Avulsion Fracture (Dancer’s or pseudo-Jones fracture)

← Older revision		Revision as of 15:05, 21 April 2022
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	{{General Fracture Management}}		{{General Fracture Management}}

	===Tuberosity (Styloid) Avulsion Fracture (~~Dancer’s~~ or pseudo-Jones fracture)===		===Tuberosity (Styloid) Avulsion Fracture (Dancer or pseudo-Jones fracture)===
	''Proximal to the more diaphyseal Jones fracture''		''Proximal to the more diaphyseal Jones fracture''
	*Refer to ortho if > 3mm displacement		*Refer to ortho if > 3mm displacement
	*Nondisplaced fracture usually require only symptomatic treatment, RICE		*Nondisplaced fracture usually require only symptomatic treatment, RICE
	*Walking boot (casting rarely necessary) and weight-bearing as tolerated, follow up in 1 week		*Walking boot or hard shoe (casting rarely necessary) and weight-bearing as tolerated, follow up in 1 week

	===Jones Fracture (non-displaced)===		===Jones Fracture (non-displaced)===

Spenceemmett: /* Jones or metaphyseal-diaphyseal junction fracture */

2022-04-21T15:03:41Z

Jones or metaphyseal-diaphyseal junction fracture

← Older revision		Revision as of 15:03, 21 April 2022
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	===Jones or metaphyseal-diaphyseal junction fracture===		===Jones or metaphyseal-diaphyseal junction fracture===
	*Second most common fracture at base of 5th metatarsal		*Second most common fracture at base of 5th metatarsal
			*Does involve 4th-5th intertarsal junction
	*Abrupt onset of lateral foot pain, with no prior history of pain at that site, suggests acute injury and helps distinguish from stress injury		*Abrupt onset of lateral foot pain, with no prior history of pain at that site, suggests acute injury and helps distinguish from stress injury
	*Occurs due to sudden change in direction with heel off the ground		*Occurs due to sudden change in direction with heel off the ground

Spenceemmett: /* Dancer or tuberosity (styloid) avulsion fracture */

2022-04-21T15:02:50Z

Dancer or tuberosity (styloid) avulsion fracture

← Older revision		Revision as of 15:02, 21 April 2022
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	==Clinical Features==		==Clinical Features==
	===Dancer or tuberosity (styloid) avulsion fracture===		===Dancer, pseudo-Jones, or tuberosity (styloid) avulsion fracture===
	*Most common fracture at base of 5th metatarsal		*Most common fracture at base of 5th metatarsal
	*Does not involve 4th-5th intertarsal junction		*Does not involve 4th-5th intertarsal junction

Spenceemmett: /* Dancer or tuberosity (styloid) avulsion fracture */

2022-04-21T15:01:57Z

Dancer or tuberosity (styloid) avulsion fracture

← Older revision		Revision as of 15:01, 21 April 2022
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	===Dancer or tuberosity (styloid) avulsion fracture===		===Dancer or tuberosity (styloid) avulsion fracture===
	*Most common fracture at base of 5th metatarsal		*Most common fracture at base of 5th metatarsal
			*Does not involve 4th-5th intertarsal junction
	*Sx often mild, patients usually present with sprained ankle complaint		*Sx often mild, patients usually present with sprained ankle complaint
	*Occurs due to forced inversion foot/ankle while in plantar flexion		*Occurs due to forced inversion of foot/ankle while in plantar flexion

	===Jones or metaphyseal-diaphyseal junction fracture===		===Jones or metaphyseal-diaphyseal junction fracture===

Spbarrettmd: /* Diagnosis */

2022-01-30T15:12:09Z

Diagnosis

← Older revision		Revision as of 15:12, 30 January 2022
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	[[File:PMC3497949 10.1177 1941738112459489-fig14.png\|thumb\|Fractures of the fifth metatarsal base. Frontal radiograph (A) demonstrates fifth metatarsal base fractures based on location. Frontal radiograph (B) in a 24-year-old runner following inversion injury demonstrates an avulsion fracture of the fifth metatarsal base. Oblique radiograph (C) in an 11-year-old boy demonstrates an unfused fifth metatarsal base apophysis, a common fracture mimic.]]		[[File:PMC3497949 10.1177 1941738112459489-fig14.png\|thumb\|Fractures of the fifth metatarsal base. Frontal radiograph (A) demonstrates fifth metatarsal base fractures based on location. Frontal radiograph (B) in a 24-year-old runner following inversion injury demonstrates an avulsion fracture of the fifth metatarsal base. Oblique radiograph (C) in an 11-year-old boy demonstrates an unfused fifth metatarsal base apophysis, a common fracture mimic.]]
	[[File:PMC4512960 12245 2015 76 Fig6 HTML.png\|thumb\|Jones fracture. Transverse fracture 2 cm from the base of the fifth metatarsal]]		[[File:PMC4512960 12245 2015 76 Fig6 HTML.png\|thumb\|Jones fracture. Transverse fracture 2 cm from the base of the fifth metatarsal]]
	*Must distinguish Jones fracture from diaphyseal stress ~~freacture~~:		*Must distinguish Jones fracture from diaphyseal stress fracture:
	**Acute fracture will have narrow fracture line that appears sharp, normal thin cortex adjacent to fracture, and normal intramedullary canal		**Acute fracture will have narrow fracture line that appears sharp, normal thin cortex adjacent to fracture, and normal intramedullary canal
	**Stress fracture will demonstrate cortical thickening near fracture line, older stress fracture will demonstrate widened fracture line and intramedullary sclerosis		**Stress fracture will demonstrate cortical thickening near fracture line, older stress fracture will demonstrate widened fracture line and intramedullary sclerosis

Rossdonaldson1: /* Management & Disposition */

2019-09-18T05:17:18Z

Management & Disposition

← Older revision		Revision as of 05:17, 18 September 2019
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	==Management & Disposition==		==Management & Disposition==
			{{General Fracture Management}}

	===Tuberosity (Styloid) Avulsion Fracture (Dancer’s or pseudo-Jones fracture)===		===Tuberosity (Styloid) Avulsion Fracture (Dancer’s or pseudo-Jones fracture)===
	''Proximal to the more diaphyseal Jones fracture''		''Proximal to the more diaphyseal Jones fracture''

Rossdonaldson1: /* Evaluation */

2019-02-26T04:41:59Z

Evaluation

← Older revision		Revision as of 04:41, 26 February 2019
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	===Diagnosis===		===Diagnosis===
	[[File:Foot fx.png\|thumb\|5th Metatarsal fracture types]]		[[File:Foot fx.png\|thumb\|5th Metatarsal fracture types]]
			[[File:PMC3497949 10.1177 1941738112459489-fig14.png\|thumb\|Fractures of the fifth metatarsal base. Frontal radiograph (A) demonstrates fifth metatarsal base fractures based on location. Frontal radiograph (B) in a 24-year-old runner following inversion injury demonstrates an avulsion fracture of the fifth metatarsal base. Oblique radiograph (C) in an 11-year-old boy demonstrates an unfused fifth metatarsal base apophysis, a common fracture mimic.]]
	[[File:PMC4512960 12245 2015 76 Fig6 HTML.png\|thumb\|Jones fracture. Transverse fracture 2 cm from the base of the fifth metatarsal]]		[[File:PMC4512960 12245 2015 76 Fig6 HTML.png\|thumb\|Jones fracture. Transverse fracture 2 cm from the base of the fifth metatarsal]]
	*Must distinguish Jones fracture from diaphyseal stress freacture:		*Must distinguish Jones fracture from diaphyseal stress freacture: