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Intramedullary screw fixation
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Immobilizing orthotic/boot
Walking cast
Physical therapy
Rest for 2 weeks and return to play
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A Jones fracture occurs at the metaphyseal-diaphyseal junction of the fifth metatarsal. It is often an acute fracture in conjunction with a chronic stress-related injury. It requires either a short leg cast with strict non-weight-bearing or surgical fixation. In the high performance athlete, the need for rapid return to sport activity usually requires surgical intervention, most commonly with an intramedullary screw.
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