If you have a mild 5th metatarsal fracture (Jones Fracture), the repair is usually performed with a cast, splint, or a walking boot for six to eight weeks. During this time, it is generally advised not to put weight on the injured foot. This treatment is sufficient for 75 percent of cases. However, if the fracture is acute, surgery may be needed.
Fifth Metatarsal Fracture (Jones Fracture)
A Jones fracture occurs in the fifth metatarsal — the long bone on the outside of the foot that connects to the little toe.
Casting is usually all that is needed to treat a mild Jones fracture. You may be given NSAIDs (non-steroidal anti-inflammatory drugs) to reduce pain and swelling during the healing process. If the Jones fracture fails to heal correctly, it risks becoming a chronic condition. Jones fractures do not heal easily due to the lack of adequate blood supply to the area. For this reason, you may be required to wear a cast for up to twenty weeks so that the Jones fracture heals properly.
For athletes or those who have an acute Jones fracture, surgery may be required. Surgery is usually recommended if the fracture is displaced, if it does not heal properly, or if the problem is chronic. A variety of devices are used to fixate a Jones fracture, including screws, bone plates, wires, or pins. Sometimes a bone stimulator is used, to assist the bone in healing, before your foot is placed in a cast. The cast is essential for protecting the bone during the healing process.
In most cases, you can begin the rehabilitation process once the cast is removed, after which you will gradually be able to resume your normal activities. Rehabilitation may take an additional two to three weeks. Your age may also play a role in healing time. Younger people are known to heal faster from Bone Injury. If there is delayed healing, a bone stimulator may be used.