Tarsal navicular stress fractures

Gideon Mann*, Iftach Hetsroni, Meir Nyska, Naama Constantini, Alex Finsterbush, Eran Dolev, Shay Shabat, Vidal Barchilon, Omer Mei-Dan

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

The navicular stress fracture presents clinically as deep located pain, insidious on onset, occurring after physical activity. Diagnosis would be assisted by bone scan and CT, which would usually show a fracture in the sagittal plane involving the dorsal part of the bone. Differential diagnosis may include a bipartite navicular, an accessory navicular, osteochondritis dissecans, avascular necrosis, or Kienboeck’s disease. Treatment could be conservative using a weight bearing or preferably a non-weight bearing cast for 6 weeks, and occasionally surgical intervention. In either treatment, protocol results are often unsatisfactory and the athlete should be advised of this prior to initiating treatment.

Original languageEnglish
Title of host publicationSports Injuries
Subtitle of host publicationPrevention, Diagnosis, Treatment, and Rehabilitation
PublisherSpringer Berlin Heidelberg
Pages821-826
Number of pages6
ISBN (Electronic)9783642156304
ISBN (Print)9783642156298
DOIs
StatePublished - 1 Jan 2012

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