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Review Question - QID 6963

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QID 6963 (Type "6963" in App Search)
Figures 48a and 48b show the radiographs of a 26-year-old woman who fell down two steps and twisted her foot and ankle. What is the most appropriate treatment for this injury?
  • A
  • B

Open reduction and internal fixation with a mini fragment plate and screws

10%

26/253

Closed cannulated screw fixation

4%

11/253

Short leg casting for 6 weeks

5%

12/253

Hard-soled shoe and weight bearing as tolerated

62%

158/253

Short leg cast and non-weight-bearing, followed by weight bearing as tolerated for 6 weeks in a fracture brace

16%

41/253

  • A
  • B

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The patient has a zone 1 base of the fifth metatarsal fracture (Pseudojones) that represents a less serious injury compared to zone 2 and 3 fractures with regard to healing potential. Treatment is symptomatic and casting is not necessary. These fractures are well treated with a hard-soled shoe for comfort and weight bearing as tolerated. Surgical intervention is not warranted.

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