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There is general consensus in the literature that TPFs that are stable and show minimal displacement do not require surgery
MRI has a high sensitivity for demonstrating soft-tissue injuries (Figure 5) and is also effective in demonstrating the fracture pattern.10 Due to the high rate of concomitant soft-tissue injuries in TPF, there is a move towards more frequent MRI studies.11 The limitations to this approach are the high cost of MRI and its limited availability.