Foot Case 2 Pearl

Always palpate the base of the 5th metatarsal in any ankle or foot injury and order dedicated foot films if tender over the 5th metatarsal.  Avoid confusing Jones and Pseudo-Jones terminology.  Refer to fractures within 1.5cm of the tip of the styloid process as “avulsion” fractures, which are typically managed nonoperatively if not displaced.  Fractures beyond 1.5cm from the tip of the styloid process are “metatarsal” or “diaphyseal” fractures and should be splinted and made non weightbearing until orthopedics follow up.