What is a Lisfranc / Jones Fractures?

A Lisfranc or Jones Fractures is an injury to the bones and/or ligaments in the middle part of the foot, often caused by twisting injuries or direct trauma.

What are symptoms of a Lisfranc injury?

Symptoms include midfoot pain, swelling, bruising, difficulty walking, and tenderness over the midfoot region.

How are Jones Fracturess treated?

Treatment depends on severity and may include immobilization, bracing, physical therapy, or surgical fixation to restore alignment and stability.

When should I see a specialist for a Jones Fractures?

You should consult a foot and ankle specialist if you experience persistent pain, swelling, or difficulty bearing weight after midfoot trauma.

Jones Fractures Treatment Miami, FL

Jones Fractures

A Jones fracture is a break in the fifth metatarsal, the long bone on the outside of the foot that connects to the small toe. This specific area of the bone has a limited blood supply, making it prone to delayed healing. Jones fractures are commonly seen in athletes and active individuals and were first described by Sir Robert Jones in 1902.

Causes

Jones fractures can result from:

Direct trauma, such as a fall, twisting injury, or sports accident
Overuse or repetitive stress, often seen in runners or dancers (stress fractures)
Poor bone health, including osteoporosis or fragile bones

Symptoms

Typical signs of a Jones fracture include:

Pain on the outside of the foot
Swelling and tenderness at the fracture site
Bruising or, in rare cases, skin wounds
Difficulty moving the foot or bearing weight

Diagnosis

Your doctor will:

Examine your foot and ankle
Ask about the mechanism of injury
Order imaging such as X-rays, and in some cases, MRI or CT scans to confirm the fracture

Treatment

Treatment depends on the severity of the fracture and may include conservative care or surgery.

Conservative Care

Pain relief with medications or NSAIDs
Immobilization with a cast or brace
Non-weight-bearing on the affected foot

Surgical Treatment

Surgery is recommended for severe fractures or those that fail to heal with conservative care. Options include:

Internal fixation: Rods or screws inserted into the bone to hold it in place
Open reduction: Bone fragments aligned and secured with plates and screws

Recovery

Limited weight-bearing for 1-2 weeks post-surgery
Gradual return to regular activities over 3-4 months
Use of orthotic shoes or inserts to support proper healing
Physical therapy to restore strength and mobility

Risks and Complications

Potential risks of surgery include:

Delayed bone healing
Persistent pain or stiffness
Muscle atrophy from immobilization
Nerve injury or infection

Prevention

Wear supportive, properly fitted shoes during sports and high-impact activities
Maintain a diet rich in calcium and vitamin D
Perform regular weight-bearing exercises to strengthen bones

Why Choose Alejandro Pino

Dr. Pino is a foot and ankle specialist who uses state-of-the-art fixation techniques to restore alignment, stabilize the bone, and maximize healing. He tailors treatment to each patient's activity level, whether you are a weekend athlete or someone who performs physical work, and carefully guides recovery to help patients return safely to their normal activities.