Conservative management of proximal fifth metatarsal fractures [Jones fracture]

ABSTRACT

To determine the outcome of proximal fifth metatarsal fracture treated by POP [Plaster of Paris] cast. Descriptive Cross -sectional study. This study was conducted in the Department of Orthopaedics and Traumatology of KhyberTeaching Hospital, Peshawar from Jan 2012 to Jan 2013. Hundred patients with fracture of proximal fifth metatarsal bone [Jones fracture] were managed conservatively with plaster cast immobilization. Fracture healing and functional outcome was assessed. The mean age of the patients was 53 years. The clinical and radiological union rates at 6 months of follow up were 97% and 95.3% respectively. A progressive improvement in AOFAS [American Orthopaedic Foot and Ankle Society] mid foot scale score was seen. Overall 92% patients were satisfied with theoutcome.Four patients had malunion and only one had nonunion. Acute fracture of proximal fifth metatarsal can be effectively managed by plaster cast immobilization