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1Nonsurgical treatment

Midbody fracture of the proximal sesamoid bone - nonsurgical treatment

External coaptation is not required for conservative management. Extended stall rest and a gradual return to exercise will typically result in a functional fibrous union.

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 is more difficult to define because of the fibrous nature of union.