Tuberosity avulsion fracture of fifth metatarsal

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monsoon

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Yesterday I had a freak accident while climbing down the curb. I got my ankle forcibly inverted as i didn't realise sidewalk had come to an end. There was an audible snapping sound even in the background of traffic noise. I often get my ankle to inverted awkwardly once in a while but this time it was serious and powerful enough to fracture my metatarsal.

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as you can see it's a compound and displaced significantly. Ortho attending has advised me to get it operated w/ a cancellous screw to put the fragment together in place. He has already put me on the list. But I'm really anxious. I am going for a second opinion tomorrow at another consultant's office. What should be the right management strategy here? My ophthalmology residency programme starts in 5 weeks. Am I going to recover in time? He said i'll be in NWB cast for at least 4 weeks. If i decide against going for surgery what are the chances of non-union? I would greatly appreciate opinions from those of you who have seen the similar cases or had similar injury.

Thank you.

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