From the Research
Pseudojones fractures should be treated with conservative management, including immobilization with a foot cast, as it has been shown to improve pain and function at 2 and 4 weeks compared to short leg casting 1. The treatment of pseudojones fractures typically involves conservative management, with the goal of reducing pain and promoting healing.
- Immobilization with a foot cast or walking boot for 4-6 weeks is a common approach, along with non-weight bearing or limited weight bearing status.
- Pain can be managed with NSAIDs like ibuprofen (400-600mg three times daily) or naproxen (500mg twice daily).
- A study published in 2019 found that foot casting improved pain and function at 2 and 4 weeks compared to short leg casting 1.
- However, a more recent systematic review and meta-analysis published in 2022 found no significant difference between orthotic removable support and short-leg casting regarding AOFAS score, pain on VAS score, and non-union rate 2.
- Another study published in 2022 suggested that non-operative management of minimally displaced Jones fractures in a walking boot offers similar outcomes to cast immobilization with weight bearing restrictions 3.
- It's worth noting that pseudojones fractures have good blood supply and heal well with proper immobilization, unlike true Jones fractures which occur in a watershed area with poor blood supply.
- Early diagnosis and appropriate treatment are important to prevent chronic pain, nonunion, or recurrent injury.
- Physical therapy should follow immobilization, focusing on range of motion exercises, strengthening, and gradual return to activities over 2-4 weeks.