Jones fractures, named for their occurrence at the base of the fifth metatarsal bone on the outer side of the foot, are among the most prevalent foot injuries. Healing of this fracture may be slow due to the limited blood supply to the area and the considerable force exerted on this part of the foot, particularly affecting individuals with high-arched feet.

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Symptoms

Symptoms of a Jones fracture include pain, swelling, bruising, and difficulty walking. Some individuals may experience discomfort prior to the fracture.

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Cause

These fractures can result from foot twisting or sudden increases in high-impact activity, such as marathon training. 

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Diagnosis

Diagnosis typically involves X-rays, with additional imaging like MRI or CT scans sometimes required to assess fracture severity and healing progress.

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Treatment

Treatment may involve non-surgical methods initially, including immobilization in a non-weight bearing cast or boot. However, if healing does not occur within six weeks, surgical intervention, often involving the insertion of a stabilizing screw, may be necessary, especially for athletes or when conservative treatment fails.

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Recovery

Whether with or without surgery, recovery generally takes about eight weeks. Physical therapy may be needed afterward to restore motion and strength. 

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Risks and Complications

Potential complications of surgery include those associated with anesthesia, infection, nerve or blood vessel damage, and blood clots. In cases where healing is delayed, additional interventions like bone stimulation or repeat surgery may be required.