The Most Appropriate Initial Treatment for a Nivicular Stress Fracture

The correct answer to this question is four, short legge cast and non weigh bearing. In the acute setting, most important is a six to eight week period of amobilization and no weight bearing,. usually accomplished with the cast or walk boot and crutches. A 21 year old recreational baseball player presents for a valuation of anterior ankle pain that has been persistent for the past 6 to 8 weeks. The choices are one, observation alone. Two, quartizon injection into the anterior tibual tendon sheath. Three, partial weight bearing in a boot. And five, open reduction, internal fixation of the fracture.