Jones fracture is the fracture of proximal 5th metatarsalbone and it is characterized by its reach up to the inter-metatarsal joint.
Jones fracture is believed to occur as a result ofsignificant adduction force to the forefoot with the ankle in plantar flexion.And it is common in athletes.
Jones fracture can be mistaken for a sprain, because thesprain is common on the side of the foot.
In jones fracture, patients are having constant pain overthe middle-outside area of the foot that’s getting worse, and not gettingbetter during the day. Along with pain, they can have redness, swelling,tenderness, the difficulty of walking as unable to put weight on side of theleg, etc.
In jones fracture there is a higher chance of non-union,risk of re-fracture even after healing, surgical treatment is common. Surgicaltreatment includes fixation with the screw.
The complication of Jones fracture can be re-fracture, screwfailure, non-union, infection, nerve injury, hardware discomfort, etc.
There should be Non-weight bearing for 2 weeks.
Post-operative care of jones fracture includes:
In the Early-stage when limited weight-bearing is possiblewe have to protect the bone from undue loading and stress. During this stagedue to not using the foot normally, can have consequences for areas higher upthe body, such as knees, hips, and lower back. So this is necessary to dosomething for those areas like mobility exercises for knee hip and lower backand also non-weight bearing mobility exercise of the ankle. Other exerciseslike stability exercises for example- single (unaffected) leg toe touch, etc.
Physiotherapy treatment After 2 weeks when the patient canload their food includes:
Ankle ROM exercises.
Ankle strengthening exercises with thera band.
Step-up exercise with a resistance band placed at yourknees.
Deep Squatting.
Stretching of the calf muscle and Achilles tendon.
Jumping rope.
Sports-specific drills.
Agility training.
Return to competitive sports is usually takes 10- 12 weeks.