Is this 5th Metatarsal fracture an avulsion fracture or a Jones fracture? (See picture)



Link to picture...

http://img.makeupalley.com/1/3/7/8/961656.JPG

Any radiologists, doctors or nurses willing to help?

Mom has a doctor's appointment tomorrow, but she'd like to learn more
about what to expect treatment and healing wise so that if presented
with a choice of casting or an operation, she can choose wisely.

History: Mom's 70 years old, and has osteopina.

Injury: About 8 weeks ago mom was outdoors, on concrete about to step
down a low step when her ankle and foot suddenly, unxepectedly twisted
outward, like an ankle sprain.

She did not fall. But it was very painful and she (and someone who was
with her about 5 feet away!) heard a snap. Bruising and some swelling
were fast. The bruising was severe, and all along the outer side of
her Right foot and a little in the ankle.

Mom is stubborn (you have no idea!) and refused to get off her foot
and worked for a few more hours on the injured foot even with severe
pain. (I wasn't there with her that day or I would have MADE her
stop!)

She's been in pain, some limping and can't wear anything but a flat
sandal mule on the foot. There was no heat and minimal swelling in the
foot. But she did get nauseated with slight temperature elevation the
day after the injury. We've been trying to get her to go to the doctor
but she's been stubborn up until now. She stayed off her foot some but
refused to wrap it, soak it or otherwise try to imobilize it.

I know that it's a fifth metatarsal break. But is it a Jones fracture
or an Avulsion fracture? The tech told her that it's "just hanging
there." Does the fact that she's waited so long have any impact on
treatment options or recovery?

Any help would be appreciated. Hopefully the doctor will give her more
info tomorrow.
.



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