ORTHOPEDICSCOMPLICATIONS
Frequent nonunion or malunion
Pseudo-Jones Fracture
More common than the Jones fracture
DIAGNOSIS
Avulsion fracture of the base of the fifth metatarsal (see Figure 4.15)
TREATMENT
Ankle stirrup splint, hard post-op shoe, or rocker walker
See Table 4.4 for indications for emergent and urgent (< 72 hours) orthopedic
referral in ankle and foot injuries.
OSTEOMYELITISOsteomyelitis is an inflammatory condition of the bone usually caused by
infection.
■ Hematogenous spread from bacteremia; occurs mainly in children
■ Neonate:Staphylococcus aureus,Enterobacterspecies, group A and B
Streptococcus
■ Children (4 months to adult): S. aureus, group A Streptococcus,
Haemo-philus influenzae, and Enterobacterspecies
■ Adult:S. aureus
FIGURE 4.15. Jones and pseudo-Jones fracture. The lines indicate the general appear-
ance of the location of fracture sites, with a pseudo-Jones as a very proximal avulsion-type
fracture (left) and a Jones as a proximal shaft fracture (right).
The Jones fracture is
frequently complicated by
nonunion or malunion.