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
