Jones fracture (actually, re-fracture)

  • Posted by a hidden member.
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    Jul 07, 2012 3:37 PM GMT
    Two weeks out of my walker boot from the previous fracture, and I randomly roll my ankle and completely re-fracture worse than the original injury. I had the original injury ~4-5 months before seeing a doctor thinking it was a sprain. As of two weeks ago, it was clinically healed and barely visible on film and I was being followed by an ortho. Now I am completely non weight-bearing whereas before I was the entire time.

    I was wondering if anyone has experienced this, if you opted for surgery/fixation and how did you manage being inactive for so long? In my previous cast, I would have dreams and fantasize about running and hiking... have never been this immobile in my life. I revisit the ortho in 3 weeks time hopefully will be WB by then, but he has left it with me to decide if I want the surgery and if I go for it, he will fit me in within a week.
  • Suetonius

    Posts: 2545

    Jul 07, 2012 6:38 PM GMT
    Haven't; but you might benefit from a 2nd opinion from another surgeon on the likely outcome of the proposed surgery.
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    Jul 07, 2012 7:09 PM GMT
    Hey what's up. I've never experienced a psuedo-Jones or a true Jones fracture; however, I can tell you often times my chief residents and attendings based their treatment on the activity level of our patients.

    As you probably know, the major problem with Jones fractures is the incidence of non-union/malunion btwn the proximal and distal part of the fracture due to its location (not the best blood supply). Non-union/malunion of your fracture spells trouble for anyone, but especially someone like you.

    If you were WB before, but NWB now then your fracture may be more displaced than it was with your last fracture. Considering that you are a very active person,you should have an in depth conversation with your orthopod again regarding the pros and cons of actually following through with an open reduction and internal fixation surgery vs simply being placed in a short-leg cast.

    Clearly you will go crazy with either option given you are so active. Sorry...but it sucks! But, just to let you know...most hard core athletes go with the surgery (at least the ones I worked with).

    In the mean time....please please please go easy on it and dont try to push your tolerance. These fractures can very easily cause problems (especially since the area receives a lower blood supply than what what most would consider optimal).

    hope this helps
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    Jul 08, 2012 7:01 AM GMT
    Although not a Jones Fracture, I ened up with metatarsal fractures on my third and fourth on both my feet in May/11 and Aug/11. This was due completely to changing to a minimalist shoe and a forefoot strike.

    It sucks and you seriously need to remain NWB. It takes a long time but let it heal. I wasted 9 months of the year and it drove me crazy. However, 6 months after the last cast came off, I ran a PB marathon!

    However, I still hobbled on crutches and did weights and you could use the rowing machine, leaving your affected foot off to the side and just row with one foot.

    Aerobic capacity does come back quickly with some concerted effort.

    Good luck and heal up.
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    Jul 29, 2012 6:56 PM GMT
    Just an update - I had the surgery this past Thursday... pretty sore but feeling encouraged! Will give an update on how I'm doing in a few weeks after my first check up.