Jones type fifth metatarsal fracture fixation in athletes: A review and current concept

Abstract

Jones type fifth metatarsal fracture is a common occurrence among athletes at all levels. These fractures may occur due to several mechanisms, but inversions and twisting injuries are considered some of the leading causes in sports. However, while Jones fracture incidences are frequent in the sporting world, there is still a lack of consensus on how such fractures should be effectively managed. There are numerous treatment options for patients with fifth metatarsal Jones fractures. The role of nonoperative treatment remains controversial, with concerns about delayed union and nonunion. Surgical stabilization of metatarsal Jones fractures is therefore often recommended for athletes, as it is often associated with a low number of complications and a higher rate of union than nonoperative management. This review will focus on literature regarding the prevalence of Jones type fifth metatarsal fracture, alongside the efficacy of both conservative and surgical treatment within this population.

Keywords: Athletes; Surgery; Fifth Metatarsal; Jones fracture; Rehabilitation; Fracture

Core Tip: Jones type fifth metatarsal fractures are a common injury among athletes. However, there remains a lack of consensus on the effective management of such fractures, especially in a demanding population group where time is often of the essence. Treatment recommendations often depend on the location and understanding of the fracture in addition to the patient's underlying state of health and other factors that influence surgical risk and outcome. The role of nonoperative treatment is still controversial, but surgical stabilization of metatarsal Jones fractures is often recommended for athletes and other high-demand population groups.