Pseudo Jones vs Jones vs Stress Fracture?

A great illustration from

Pseudo-jones fracture

  • Proximal tuberosity avulsion fracture
  • Does not extend to inter-metatarsal joint between fourth and fifth metacarpals

Jones fracture

  • Transverse fracture at metadiaphyseal-diaphyseal junction extending into the inter-metatarsal joint
  • Could be unstable so early surgical consultation is needed



Stress fracture

  • Occurs slightly distal to Jones fracture, within 1.5cm of metaphyseal-diaphyseal junction
  • Thickened cortex due to periostel reaction.




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