Arangio G A
Foot Ankle. 1983 Mar-Apr;3(5):293-6. doi: 10.1177/107110078300300511.
Two young males with proximal diaphyseal fractures of the fifth metatarsal (Jones' fractures), one acute and one with delayed union, have been presented and healed with percutaneous cross-pinning, shortleg casting, and partial weightbearing. Both healed without complications in 7 and 11 weeks, respectively. Both were followed for more than 2 years. In the acute Jones' fracture the treatment of choice is a nonweightbearing shortleg cast for 8 weeks. In the symptomatic nondisplaced delayed union the author favors percutaneous cross-pinning, shortleg cast, and partial weightbearing. Intramedullary screw fixation is an alternative. In the patient with symptomatic nonunion, bone grafting is the treatment of choice. Asymptomatic patients with radiographically unhealed fractures require no treatment. One hundred six cases of the Jones' fracture are reviewed.
本文介绍了两名第五跖骨近端骨干骨折（琼斯骨折）的年轻男性患者，其中一名为急性骨折，另一名为延迟愈合骨折，他们均通过经皮交叉克氏针固定、短腿石膏固定及部分负重治疗后痊愈。两人分别在7周和11周内顺利愈合且无并发症发生。两人均接受了超过2年的随访。对于急性琼斯骨折，首选治疗方法是使用非负重短腿石膏固定8周。对于有症状的无移位延迟愈合骨折，作者倾向于采用经皮交叉克氏针固定、短腿石膏固定及部分负重治疗。髓内螺钉固定是另一种选择。对于有症状的骨不连患者，植骨是首选治疗方法。对于X线片显示骨折未愈合但无症状的患者，无需治疗。本文还回顾了106例琼斯骨折病例。
