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. 2021 Feb 15;29(4):148-157.
doi: 10.5435/JAAOS-D-20-00869.

Navicular Stress Fractures

Karan A Patel  1 , Zachary K Christopher, Mark C Drakos, Martin J O'Malley
Affiliations

Navicular Stress Fractures

Karan A Patel et al. J Am Acad Orthop Surg. .

Abstract

Navicular stress fractures are multifactorial injuries due to chronic overload on the navicular, particularly in young athletes. The navicular is subject to unique stresses and has a complex blood supply, making it susceptible to stress fractures and potentially delayed union or nonunion. Expeditious diagnosis is critical to prevent a delay in treatment and a poor outcome. Advanced imaging is essential in making the diagnosis and monitoring healing. Both nonsurgical and surgical treatments have demonstrated good results. Nonsurgical management consists of a period of immobilization and nonweight bearing, and surgical management typically involves open reduction and internal fixation. Patients need to be appropriately counseled regarding expectations for these challenging injuries.

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References

    1. Towne L, Blazina M, Cozen L: Fatigue fracture of the tarsal navicular. J Bone Joint Surg 1970;52:376-378.
    1. Bennell KL, Malcolm SA, Thomas SA, et al.: Risk factors for stress fractures in track and field athletes. A twelve-month prospective study. Am J Sports Med 1996;24:810-818.
    1. Brukner P, Bradshaw C, Khan KM, White S, Crossley K: Stress fractures: A review of 180 cases. Clin J Sport Med 1996;6:85-89.
    1. Mann JA, Pedowitz DI: Evaluation and treatment of navicular stress fractures, including nonunions, revision surgery, and persistent pain after treatment. Foot Ankle Clin 2009;14:187-204.
    1. Snyder RA, Koester MC, Dunn WR: Epidemiology of stress fractures. Clin Sports Med 2006;25:37–52, viii.

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