Understanding 5th Metatarsal Fractures: Jones, Pseudo-Jones & Stress Fractures

If you’ve ever rolled your ankle or landed awkwardly on the side of your foot, you may have injured your 5th metatarsal — the long bone on the outer edge of your foot that connects to your little toe. It’s a common injury in sports, hiking, and everyday slips — but not all fractures here are the same.

⚙️ The Three Main Types

1. Pseudo-Jones (Avulsion) Fracture
This occurs where a small piece of bone is pulled off by a tendon or ligament right at the base of the 5th metatarsal.

• Usually caused by ankle inversion (rolling the ankle inward).

• Often heals well with a stiff-soled shoe, walking boot, or cast.

• Rarely needs surgery.

2. Jones Fracture
This break happens a bit farther down the bone — in an area with less blood supply.

• Common in athletes and active individuals.

• Has a higher risk of delayed healing or non-union.

• May require a period of non-weight bearing, and sometimes surgery to fix with a screw or plate.

3. Stress Fracture of the Shaft
This is an overuse injury from repetitive loading, seen in runners, dancers, and military recruits.

• Pain builds gradually without a clear injury event.

• Requires rest, modified activity, and sometimes a walking boot.

• Full healing can take several weeks to months.

⏳ Why Getting the Right Diagnosis Matters

The 5th metatarsal has unique zones with different healing patterns. Missing a Jones fracture or mistaking it for a minor sprain can lead to chronic pain or delayed union. That’s why getting early imaging — usually an X-ray — and seeing an orthopedic specialist is so important.

🩻 When to See a Specialist

Seek prompt evaluation if you:

• Have persistent pain or swelling on the outer side of your foot.

• Heard a “pop” or can’t bear weight after twisting your ankle.

• Are an athlete or runner with gradual pain that worsens with activity.

🧭 The Ortho Compass Advantage

With Ortho Compass, you can upload your foot X-ray or imaging report and get matched quickly with a local orthopedic surgeon who treats foot and ankle injuries — often within days, not weeks.