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Displaced zone two fractures require operative management. Less consensus exists on acute nondisplaced Jones fractures (zone two). There are many studies that advocate for early intramedullary screw fixation for acute Jones fractures in the active population[21-24]. Porter et al[21] demonstrated that acute Jones fractures treated operatively resulted in quicker return to sport and clinical healing in competitive athletes. In this same study, athletes returned to sports at a mean of 7.5 wk (range 10 d to 12 wk). This time period is shorter than the average time to healing with nonoperative management. Mindrebo et al[22] described nine athletes that underwent early percutaneous intramedullary screw fixation and the patients were full weightbearing within seven to ten days. They found that on average the patients were able to return to full sport by 8.5 wk and all had radiographic union by an average of six weeks[22]. Literature published by Quill[23] reports that one in three nonoperatively treated Jones fractures re-fractured and therefore recommended early surgical management.
If you're not successful in staving off the sore, applications of ointments and petroleum jelly will help keep the scabs from cracking open, helping to reduce the pain and shorten the time of recovery. It's "generally true that wounds heal more quickly when kept moist," according to Clark Otley, MD, the chair of the Department of Dermatology at the Mayo Clinic.
Seek immediate medical care for a skin or nail infection. People who have diabetes can develop an infection more easily than people who have a healthy endocrine system. An infection can quickly become serious.If you notice any of the following on your skin or under a nail, get immediate medical care:Skin looks swollen and discoloredTenderness or painWound that is leaking pus or other fluidHoney-colored crustsBuild-up beneath a fingernail or toenail or a nail is starting to lift upA thickening or discolored nail
The evidence for the importance of vitamin K in heart health is compelling. Uncarboxylated MGP accumulates in atherosclerotic plaque in proportion to the amount of calcium deposited in the plaque (Roijers, 2011) and circulates in plasma in proportion to the severity of vascular calcification (Schurgers, 2010; Dalmeijer, 2013). Inhibitors of vitamin K recycling such as warfarin and other 4-hydroxycoumarins worsen blood vessel calcification in patients at risk for heart disease (Zhang, 2014). People who consume more vitamin K2 in the diet have a lower risk of heart disease (Geleijnse, 2004; Gast, 2009; Buelens, 2009; Zwakenberg, 2016). Two different randomized controlled trials lasting three years support the role of vitamin K in heart health: one showed that vitamin K1 prevents the worsening of arterial calcification (Shea, 2009) and the other showed that vitamin K2 reduces arterial stiffness (Knapen, 2015). The first randomized controlled trial using vitamin K2 to prevent or reverse arterial calcification is currently underway and will likely be finished by 2018 (Vossen, 2015). Thus, a wide array of observational and experimental evidence in humans agrees that dietary vitamin K supports heart health. 153554b96e
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