Skeletal traction is an option for extraarticular fractures and for medically unstable patients. Open reduction internal fixation for the majority. Converted to internal fixation when soft tissue injuries controlled. Pain in the medial midfoot in a young boy is the typical clinical presentation. It is usually worsened with activity and relieved with rest.
Clinical outcome is generally good after healing.
Depends on the level of symptoms. For minimally-symptomatic cases, refraining from strenuous activities or the use of an arch support may be all that is needed. For more pronounced cases, a short leg cast with the arch well-molded, worn for four to twelve weeks, usually provides relief. If the symptoms are severe, the patient may need to avoid weight-bearing in the cast. After cast, if tenderness is minimal, an arch support and gradual resumption of activities are advised.