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Foot Case 3 ED Management

Stress fracture of 2nd metatarsal

ED Management

Treatment for most stress fractures is NSAIDs, restriction of activity, and time. Immobilization and non-weightbearing status are seldom required. Exceptions are stress fractures of the navicular, 5th metatarsal, and femoral neck. These bones have avascular centers and healing may be prolonged, so immobilization and non-weight bearing status is recommended (4-6 wks for navicular and up to 20 wks for 5th metatarsal). All require outpatient referral to an orthopedist.