“…Nonoperative management is viable for most patients, but surgical fixation is recommended for athletes due to improved union rates, decreased complication rates, and shorter return to play times [7,12,42]. Zone 2 fractures in elite athletes should be treated with surgery over nonoperative management for 3 reasons: higher union rates (95% vs 70 to 90%, respectively) [34,57], quicker time to union (7 weeks vs 10 to 12 weeks, respectively) [10], and lower refracture risk (<5% vs 10 to 13%, respectively) [6,15,26]. Different operative techniques have been described in the literature, such as intramedullary screw, tension band wiring, differential pitch screw, and percutaneous bi-cortical screw [8,58].…”