Clinical:
- A 32 years old lady,
- Slipped while wearing high-heels
- Complains of painful swelling of left foot
- Clinically there is tenderness at lateral part of foot
Radiographic findings:
- A fracture is seen at proximal fifth metatarsal (block arrows)
- Fracture line involving the tuberosity and extending to involve articular surface (yellow arrow)
- There is minimal displacement of fracture fragment
- Associated soft tissue swelling is also seen
Diagnosis: Pseudo-Jones fracture
Discussion:
- Pseudo-Jones fracture is also known as dancer fracture
- It is an avulsion fracture of 5th metatarsal styloid.
- The inter-metatarsal joint between the bases of the fourth and fifth metatarsals is a key landmark for classifying proximal fifth metatarsal fractures.
- Tuberosity (styloid) fractures occur proximal to this joint while fractures of the metaphyseal-diaphyseal junction (Jones fractures) extend toward this joint.
- These fractures can be treated conservatively, and heal well.
- Operative fixation is indicated for large or very displaced fracture fragments with intra-articular extension
