Review Question - QID 210132

A high school quarterback presents to your office complaining of activity-related right foot pain. Five months ago, he was diagnosed with a "foot fracture" and was treated by an outside provider for 8 weeks in a controlled ankle motion boot and was made non-weightbearing. His foot pain had mostly resolved following this period of immobilization and he did not follow-up. His season resumed 2 weeks ago and he is now practicing 6 days a week. Since this time, he states his pain has returned and his performance is beginning to deteriorate. On physical exam, the only significant finding is tenderness to deep palpation about the proximal fifth metatarsal. Radiographs are obtained and presented in Figures A and B. When counseling him and his parents, which of the following treatment options is most associated with early return to play, successful union, and the highest patient reported outcome scores?