November 7, 1986

Jones' Own Fracture

Author Affiliations

Bowman Gray School of Medicine of Wake Forest University Winston-Salem, NC

JAMA. 1986;256(17):2345. doi:10.1001/jama.1986.03380170061014

To the Editor.—  I congratulate Keene and Lange1 for clearly distinguishing between the Jones' fracture (fracture of the diaphysis of the fifth metatarsal about 2 cm distal to the tuberosity) and avulsion fractures of the tuberosity. Too many textbooks of radiology and orthopedics erroneously refer to all such fractures as Jones' fractures.Keene and Lange and others2,3 call the Jones' fracture a stress fracture from repetitive trauma. While this may be true, it is not always so. It can be due to an acute injury. Jones himself,4,5 reporting on his own injury and others, explained that, "whilst dancing, I trod on the outer side of my foot, my heel at the moment being off the ground. Something gave way midway down my foot...."Perhaps this fracture, which can be complete or incomplete when first seen, can be a stress fracture or an acute indirect trauma fracture (as