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1Nonsurgical treatment

Comminuted fracture of the proximal sesamoid bone - nonsurgical treatment

Extended stall rest and a gradual return to some exercise will typically result in a functional fibrous union, however soundness is dependent upon the degree of osteoarthritis that develops.

Generally stall rest for 90 days followed by hand walking for 30-60 days is sufficient prior to free exercise.

Healing can be monitored radiographically, however, progress of osseous union is more difficult to assess because of the fibrous nature of union.