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Trauma
intermediate
X-Type

Metatarsal Fractures - Stress Fractures, 5th MT Jones, and Lisfranc Injuries

Foot Trauma

A 24-year-old professional basketball player presents with 6 weeks of lateral foot pain that worsened during training camp. He denies any specific injury. Examination reveals tenderness at the proximal 5th metatarsal shaft. Radiographs show a transverse fracture at the metaphyseal-diaphyseal junction with periosteal reaction and intramedullary sclerosis. The orthopaedic surgeon discusses treatment options for return to sport. Regarding 5th metatarsal fractures and management:

Mark each as TRUE or FALSE

A

The 5th metatarsal base has THREE distinct fracture zones: Zone 1 (tuberosity avulsion) is the most ...

B

Jones fractures (Zone 2) occur at the metaphyseal-diaphyseal junction DISTAL to the 4th-5th intermet...

C

Zone 1 tuberosity fractures (pseudo-Jones) require surgical fixation in most cases due to poor blood...

D

Zone 3 proximal diaphyseal stress fractures show PRODROMAL symptoms (weeks of aching), radiographic ...

E

Surgical technique for Jones/Zone 3 fractures: intramedullary screw (4.5-6.5mm solid screw), entry p...

Answer the questions to see explanations

Click T (True) or F (False) for each option