Jones fracture

A Jones fracture is an extra-articular fracture at the base of the fifth metatarsal bone.

It is a transverse fracture at the base of the fifth metatarsal, 1.5 to 3 cm distal to the proximal tuberosity at the metadiaphyseal junction, without distal extension. 

The fracture is believed to occur as a result of significant adduction force to the forefoot with the ankle in plantar flexion 5.

Jones fracture is located at the metadiaphyseal junction, approximately 2 cm (1.5-3 cm) from the tip of the 5th metatarsal, and has a predominantly horizontal course. It should not extend distally, nor should it extend to involve the articular surfaces.

In contrast to avulsion fractures, Jones fractures are prone to non-union (with rates as high as 30-50%) and almost always take longer than two months to heal 2

As displacement of the fracture can be increased with persistent weight bearing, immobilization is important as part of the initial therapy, with a non-weight bearing cast for 6-8 weeks.  

Internal fixation and even bone grafting may be required in cases of non-union, or where the fracture is significantly displaced. 

It was first described by Sir Robert Jones (1857-1933), Welsh orthopedic surgeon, in 1902 3,6.

A number of fractures occur at the base of the 5th metatarsal (see fractures of the proximal fifth metatarsal) as well as entities which mimic fractures. These include:


Article information

rID: 1537
Synonyms or Alternate Spellings:
  • Jones's fracture
  • Jones' fracture
  • Jones fractures

ADVERTISEMENT: Supporters see fewers/no ads

Cases and figures

  • Figure 1: proximal 5th metatarsal fractures
    Drag here to reorder.
  • Case 1
    Drag here to reorder.
  • Case 2
    Drag here to reorder.
  • Case 3: with pseudo-Jones fracture
    Drag here to reorder.
  • Case 4: with pseud-Jones fracture
    Drag here to reorder.
  • Case 5
    Drag here to reorder.
  • Case 6
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.