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This is a blog about the scientific basis of medicine. A judo therapist reads research papers for study and writes about them.

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How to diagnose Jones' fracture

Tuesday, May 4, 2021

injury

This time, I'd like to talk about Jones fractures.

Have you ever heard of "Jones fracture"?

This is a condition that appears in basic medicine, but it is not commonly known as a fracture.

This is a fracture that can occur not only in athletes but also in the general public, so let's take a look at what it is. Here is a brief introduction.

What is a Jones fracture?

It is a fatigue fracture of the base of the fifth metatarsal. It is located at the base of the fifth metatarsal (between the base of the little toe and the ball of the foot).

A fatigue fracture is a fracture caused by repetitive stress.

What kind of sports do you see fatigue fractures in?

Soccer

Basketball

Handball

American football

It is more likely to be seen in games that require a lot of "side stepping" and is therefore considered a fracture that is more likely to occur in sports.

Be careful in these situations

Sudden pain during normal activities such as stepping, turning, and stepping in.

If pain occurs in the area, think about it because it can occur regardless of trauma such as a fall or bump.

It is a fracture that is difficult to heal, so it may happen again.

In some sports, surgical treatment may be an option.

The diagnosis is

In the diagnosis, the site of pain is similar to that of peroneus brevis tendonitis, but although it can be identified by the tender site, it is necessary to check the details without making a snap judgment.

In rare cases, patients have complained of pain in unrelated areas, and as a result of diagnostic imaging, it has been found that they have this disease.

Case

A 17-year-old male soccer player.

He complained of pain 3 months ago and was diagnosed with the syndrome.

After 3 months of immobilization in a cast, he returned to play and was considered to be completely cured.

However, two weeks later, the pain reappeared, and after a second visit to the doctor, the patient was re-examined and a re-fracture was confirmed.

Surgical treatment was considered, according to the patient.

Sonobe T, Imaya K, et al: Postoperative rehabilitation for sports injuries and disorders.

1st edition, 2010, pp278-292.

Summary 

When pain occurs from the little toe to the ankle, please consult a specialist who can diagnose a fracture without making an easy decision.

Also, medical professionals will know what happens if a fracture is overlooked, so it must not be missed.

This fatigue fracture is a nasty fracture that can re-fracture even if it is deemed to have healed completely with non-surgical treatment.

Although no evidence-based prevention method has been proposed, it is said to be more likely to occur in people who put more weight on their forefoot.

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