A Jones fracture is a break in the fifth metatarsal, the long bone on the outside of the foot that connects to the pinky toe. This type of fracture is unique because it occurs in an area of the bone with limited blood supply, which can make healing more difficult compared to other foot fractures.
Understanding a Jones Fracture
The fifth metatarsal is one of the most commonly injured bones in the foot. A Jones fracture occurs at the base of this bone, near the midfoot. Unlike an avulsion fracture—where a small piece of bone is pulled off by a tendon—a Jones fracture affects the shaft of the bone and typically results from stress or trauma.
Because this part of the foot has less blood flow, it’s more prone to delayed healing or nonunion, meaning the bone doesn’t heal properly on its own without medical intervention.
Jones Fracture Causes
A Jones fracture can happen from:
- Sudden trauma, such as twisting the foot or rolling the ankle
- Overuse, especially in athletes or runners
- High-impact sports, including basketball, soccer, or football
- Stress fractures that worsen over time due to repetitive pressure
Poor footwear or training on uneven surfaces can also contribute to the risk of injury.
Symptoms of a Jones Fracture
Symptoms usually begin suddenly and may include:
- Sharp pain on the outside of the foot
- Swelling, bruising, or tenderness near the midfoot
- Difficulty walking or bearing weight
- A “popping” sensation at the time of injury
- Pain that worsens with activity or pressure
Some people may continue to walk with a Jones fracture, but doing so can delay healing and increase the risk of complications.
Treating Jones Fractures
Treatment depends on the severity of the fracture, your activity level, and how well the bone is healing.
Nonsurgical Treatment
- Immobilization with a cast, walking boot, or crutches
- Rest and elevation to reduce swelling
- Ice and anti-inflammatory medications for pain
- Limited weight-bearing for 6–8 weeks
- Repeat X-rays to monitor healing progress
Surgical Treatment
If the bone doesn’t heal with conservative treatment, or if you’re an athlete needing a faster recovery, surgery may be recommended. This typically involves placing a screw or plate to stabilize the fracture and encourage bone healing.
FAQs
Jones fractures are considered serious because they occur in a low-blood-supply zone, which slows healing. Without proper treatment, they may not heal on their own.
Some people can walk, but it’s not advised. Walking on a Jones fracture can worsen the injury and delay recovery, especially if left untreated.
Home care like rest, ice, and elevation may relieve pain, but professional diagnosis and treatment are essential. Jones fractures often require immobilization or surgery to heal properly.
If you experience persistent pain, swelling, or trouble walking after a foot injury, see an orthopedic specialist. Early treatment improves the chance of full recovery.
Healing usually takes 6–8 weeks, but can take longer—especially without proper care. Surgical cases may require more recovery time, followed by physical therapy.
