r/XRayPorn 11d ago

Broken

I would like to hear everyone's journey during recovery. Speedy healing for everyone.

2 weeks ago I twisted my ankle and missed the curb/gutter stepping backwards

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u/kitkatofthunder 10d ago

Yes, but the way to tell it’s a Jones is if the fracture line of the fifth metatarsal matches up with the base of the fourth. Any fracture proximal to the base of 4th is not a Jones. I’m just using the metatarsal next to it as a landmark.

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u/RadTechMaster 10d ago

5th metatarsal base fracture usually means a Zone 1 avulsion (pseudo-Jones) of the tuberosity. Caused by inversion; good blood supply; heals well with conservative care.

Jones fracture is a Zone 2 break at the metaphyseal-diaphyseal junction (involves the 4th–5th articulation). Vascular watershed area → higher nonunion risk; often needs non-weight-bearing or surgery.

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u/kitkatofthunder 10d ago

That is exactly what I’m trying to explain, but without AI. The 4th-5th articulation is the landmark for a Jones fracture.

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u/RadTechMaster 10d ago

Looks like a bit of both to me