Roohullah Jan, Shadab Akhtar, Ghazan Askar.
Conservative Management of Proximal Fifth Metatarsal fractures (Jones fracture).
Med Forum Jan ;2(11):6-9.

Objective: To determine the outcome of proximal fifth metatarsal fracture treated by POP (Plaster of Paris) cast. Study Design: Descriptive Cross -sectional study Place and Duration of Study: This study was conducted in the Department of Orthopaedics& Traumatology of KhyberTeaching Hospital, Peshawar from Jan 2012 to Jan 2013 Materials and Methods: Hundred patients with fracture of proximal fifth metatarsal bone (Jones fracture) were managed conservatively with plaster cast immobilization. Fracture healing and functional outcome was assessed. Results: The mean age of the patients was 53 years. The clinical and radiological union rates at 6 months of follow up were 97% and 95.3% respectively. A progressive improvement in AOFAS (American Orthopaedic Foot and Ankle Society) mid foot scale score was seen. Overall 92% patients were satisfied with theoutcome.Four patients had malunion and only one had nonunion. Conclusion: Acute fracture of proximal fifth metatarsal can be effectively managed by plaster cast immobilization.

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