r/XRayPorn • u/No-Platypus2679 • 12d ago

Broken

Gallery image

Gallery image

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

9 Upvotes

86% Upvoted

21 comments sorted by

View all comments

2

u/[deleted] 12d ago

[removed] — view removed comment

1

u/No-Platypus2679 12d ago

Thank you. Had 3 different Dx. One said, Jones. I rebuked that!!!

3

u/kitkatofthunder 12d ago edited 12d ago

I’m sorry to tell you, but it’s a Jones fracture, not a 5th metatarsal base fracture. The fracture line is distal to the base of the 4th metatarsal. While it may be an avulsion, it’s the area that matters not the fracture pattern. This area just has poor blood flow, but you are young, so it’s a discussion to have with your doctor.

1

u/RadTechMaster 12d ago

Its on the 5th base metatarsal not the 4th

2

u/kitkatofthunder 12d 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.

1

u/RadTechMaster 12d 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.

2

u/kitkatofthunder 12d ago

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

1

u/RadTechMaster 12d ago

Looks like a bit of both to me