Jones Fracture in Athletes and its Management

What is Jones fracture?

Jones fracture is a 5th metatarsal fracture. What is the reason to make jones fracture is common in athletes?

Jones fractures are caused by a quick impact on your twisted foot, typically with your heel raised. Among the most prevalent reasons are:

  • Repeated overuse: excessive walking, running, or standing on hard surfaces.
  • Sports-related injuries: Jumping, as in basketball or dancing, or fast twisting, as in soccer or football.
  • Also, Falls and slips: tripping on the stairs or catching oneself unexpectedly after slipping on a damp floor.

A recent example of jones’s fracture is with Brazilian footballer “Neymar Jr” he had this fracture during a football game. He got this fracture while kicking the football, his ankle is in plantar flexion, and his forefoot is adducted. Other sports in which jones fracture can occur are basketball, cricket, running and jumping, etc.

The blood supply at the site of jones fracture is not so good, and the forces on that bone in that location sort of pulling it apart so that area is prone to delayed healing. Jones fractures are more common in athletes who have high foot arch.

Symptoms include:

  • Pain.
  • Swelling.
  • Tenderness.
  • Difficulty walking like you usually can.
  • Bruising or discoloration.
  • Also, A malformation or lump on your foot that is not normally there.

Physiotherapy treatment of jones fracture in athletes includes:

Icing to reduce inflammation and pain.

Initial physiotherapy focus on no to little weight bearing on the affected limb as the bones remain to calcify and heal properly.

Manual therapy around the ankle and plantar of the foot to minimize pain and inflammation.

Active and passive ROM exercises within the small metatarsal and tarsal joint such as plantar & dorsiflexion of foot and ankle, inversion and inversion of foot & ankle.

Soft tissue massage.

Joint mobilization.

Hydrotherapy.

Stretching exercises.

Also, Strengthening exercises such as- towel grabbing exercise.

Balance and coordination exercises on wobble board, Bosu ball, or Sissel pillow.

In addition, Proprioceptive exercises.

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