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Monday, February 22, 2021

Sesamoid Fracture Article Review

Most of these fractures (90%) do well without surgery
Average to complete return to sports 5 and 1/2 months
10% require surgery by this study

Average healing for me is the center of a bell shaped curve. Only 1 in a thousand are not healed in one year. 

For sesamoid injuries, the 1 and 1/2 month is -4 on the graph, 2 months is -3, 3 months is -2, 4 months is -1, 5 and 1/2 months is average, 7 months represents +1, 8 months +2, 9 months +3, and 9 and 1/2 months +4. If you give or take 3 months for delayed diagnosis and inadequate treatment then 12 months is pretty normal for my slow healers. This study matches up with my understanding and treatment of this injury. Good treatment for one year, with little change on repeat MRIs, and continue symptoms normally need surgical treatment. If you are in this process, you know that there are many ifs, ands and buts. Rich 

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Thank you very much for leaving a comment. Due to my time restraints, some comments may not be answered.I will answer questions that I feel will help the community as a whole.. I can only answer medical questions in a general form. No specific answers can be given. Please consult a podiatrist, therapist, orthopedist, or sports medicine physician in your area for specific questions.