Fractures of the Metatarsal of the little toe (Metatarsal V.) need special therapy. In order to be able to adapt the therapy exactly, different fractures are first of all this Bone distinguished. The Jones fracture lies in the area of transition from Metaphysis to Diaphysis. The break does not radiate into the adjacent one Tarsometatarsal joint V. out. In this region the blood flow is restricted and can therefore easily Pseudarthroses to lead. Especially if the break was caused by chronic overload. The Jones fractures are in chronic and acute Divided into fractures.
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The acute fracture is again in undislocated and dislocated Differentiated fracture. The chronic fracture differs according to the sclerosis line.
This can be on the outer fracture line or intramedullary and then requires different therapeutic approaches.
The Avulsion fracture (Avulsion fracture), however, always arises from adequate trauma. It is a fracture of a protruding bone of the Os metatarsal V. (Tuberosity). The joint space is not affected.
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Athletes (joggers, soccer players, etc.) are particularly often affected by diseases of the foot. In some cases, the cause of the foot discomfort cannot be identified at first.
Therefore, the treatment of the foot (e.g. Achilles tendonitis, heel spurs, etc.) requires a lot of experience.
I focus on a wide variety of foot diseases.
The aim of every treatment is treatment without surgery with a complete recovery of performance.
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Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.
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Acute Jones fractures without evidence of chronic overload usually heal with a conservative plaster cast. The healing time is between 6 to 12 weeks and allows a pain-adapted full load in the healing phase. The clinical symptoms of the patient are decisive for the follow-up, since the open fracture gap can be shown in the X-ray image for a very long time. For this reason, the plaster of paris can be removed with pain-free mobility, even if the fracture is still visible on the imaging display.
Chronic Jones fractures are usually associated with prolonged pain. Usually there is no trauma. The x-ray shows sclerosis around the fracture gap as a sign of chronic overload. Since conservative therapy does bring about a cure, but involves a long healing phase, high-performance athletes in particular should be informed about the long healing phase. If rapid rehabilitation is desired, screw osteosynthesis or tension straps can be performed.
Avulsion fractures with simple disruption of the tuberosity can primarily be treated symptomatically. Either through an individual insert or with the help of a tape bandage for two to six weeks.
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Are you interested in this topic? Then read our next article below: Broken little toe - accompanying symptoms and therapy options
