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Metatarsal Fracture
Corrie M. Yablon, MD; Julia R. Crim, MD; Kirkland W. Davis, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Jones fracture (fx): true Jones fx occurs in proximal 5th metatarsal (MT) at metaphysis-diaphysis junction and extends to 4th-5th intermetatarsal junction
            • March fx: stress fx of distal 2nd or 3rd MT due to fatigue, typically in military recruits
            • Stress fxs are due to repetitive injuries and divided into 2 types
              • Fatigue fx: increased demand on normal bone
              • Insufficiency fx: normal demand on weakened bone

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  Selected References

                                  1. Ruta DJ et al: Jones fracture management in athletes. Orthop Clin North Am. 51(4):541-53, 2020
                                  2. Cheung CN et al: Proximal fifth metatarsal fractures: Anatomy, classification, treatment and complications. Arch Trauma Res. 5(4):e33298, 2016
                                  3. Gorbachova T: Midfoot and forefoot injuries. Top Magn Reson Imaging. 24(4):215-21, 2015
                                  4. Carreira DS et al: Radiographic factors and effect of fifth metatarsal Jones and diaphyseal stress fractures on participation in the NFL. Foot Ankle Int. 34(4):518-22, 2013
                                  5. Ekstrand J et al: Fifth metatarsal fractures among male professional footballers: a potential career-ending disease. Br J Sports Med. Epub ahead of print, 2013
                                  6. Ding BC et al: Fractures of the proximal fifth metatarsal: keeping up with the Joneses. Bull NYU Hosp Jt Dis. 70(1):49-55, 2012
                                  7. Gehrmann RM et al: Current concepts review: Stress fractures of the foot. Foot Ankle Int. 27(9):750-7, 2006
                                  8. Ashman CJ et al: Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics. 21(6):1425-40, 2001
                                  9. Harrington T et al: Overuse ballet injury of the base of the second metatarsal. A diagnostic problem. Am J Sports Med. 21(4):591-8, 1993
                                  10. Lawrence SJ et al: Jones' fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. 14(6):358-65, 1993
                                  Related Anatomy
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                                  Related Differential Diagnoses
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                                  References
                                  Tables

                                  Tables

                                  KEY FACTS

                                  • Imaging

                                    • Top Differential Diagnoses

                                      • Pathology

                                        • Clinical Issues

                                          TERMINOLOGY

                                          • Definitions

                                            • Jones fracture (fx): true Jones fx occurs in proximal 5th metatarsal (MT) at metaphysis-diaphysis junction and extends to 4th-5th intermetatarsal junction
                                            • March fx: stress fx of distal 2nd or 3rd MT due to fatigue, typically in military recruits
                                            • Stress fxs are due to repetitive injuries and divided into 2 types
                                              • Fatigue fx: increased demand on normal bone
                                              • Insufficiency fx: normal demand on weakened bone

                                          IMAGING

                                          • General Features

                                            • Radiographic Findings

                                              • CT Findings

                                                • MR Findings

                                                  • Imaging Recommendations

                                                    DIFFERENTIAL DIAGNOSIS

                                                      PATHOLOGY

                                                      • General Features

                                                        • Staging, Grading, & Classification

                                                          CLINICAL ISSUES

                                                          • Presentation

                                                            • Demographics

                                                              • Natural History & Prognosis

                                                                • Treatment

                                                                  Selected References

                                                                  1. Ruta DJ et al: Jones fracture management in athletes. Orthop Clin North Am. 51(4):541-53, 2020
                                                                  2. Cheung CN et al: Proximal fifth metatarsal fractures: Anatomy, classification, treatment and complications. Arch Trauma Res. 5(4):e33298, 2016
                                                                  3. Gorbachova T: Midfoot and forefoot injuries. Top Magn Reson Imaging. 24(4):215-21, 2015
                                                                  4. Carreira DS et al: Radiographic factors and effect of fifth metatarsal Jones and diaphyseal stress fractures on participation in the NFL. Foot Ankle Int. 34(4):518-22, 2013
                                                                  5. Ekstrand J et al: Fifth metatarsal fractures among male professional footballers: a potential career-ending disease. Br J Sports Med. Epub ahead of print, 2013
                                                                  6. Ding BC et al: Fractures of the proximal fifth metatarsal: keeping up with the Joneses. Bull NYU Hosp Jt Dis. 70(1):49-55, 2012
                                                                  7. Gehrmann RM et al: Current concepts review: Stress fractures of the foot. Foot Ankle Int. 27(9):750-7, 2006
                                                                  8. Ashman CJ et al: Forefoot pain involving the metatarsal region: differential diagnosis with MR imaging. Radiographics. 21(6):1425-40, 2001
                                                                  9. Harrington T et al: Overuse ballet injury of the base of the second metatarsal. A diagnostic problem. Am J Sports Med. 21(4):591-8, 1993
                                                                  10. Lawrence SJ et al: Jones' fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. 14(6):358-65, 1993