Fracture typeTreatment options
Acute nondisplaced diaphyseal (Jones) fractureNon–weight-bearing cast for 6 to 8 weeks13,15,17
Weight-bearing orthosis for 8 to 12 weeks18
Consider early surgical fixation in athletes13,15,17,19
Diaphyseal stress fracture
Type I (early)Non–weight-bearing cast for 6 to 8 weeks13,15,17
Weight-bearing orthosis for 8 to 12 weeks18
Consider early surgical fixation in athletes13,15,17
Type II (delayed)Early surgical fixation13,15,17
Non–weight-bearing cast for up to 20 weeks in selected patients13,15,17
Type III (nonunion)Surgical fixation13,15,17
Pulsed electromagnetic fields plus non–weight-bearing cast for up to 16 weeks20