Welcome to the Podiatry Arena forums

You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members, upload content, view attachments, receive a weekly email update of new discussions, access other special features. Registered users do not get displayed the advertisements in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!

  1. Sponsored Content: The Interpod Keystone for measuring supination resistance. Read about it here for more.
    Dismiss Notice
  2. Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
    Dismiss Notice
Dismiss Notice
Have you considered the Clinical Biomechanics Boot Camp Online, for taking it to the next level? See here for more.
Dismiss Notice
Do you get the weekly newsletter that Podiatry Arena sends out to update everybody? If not, click here to organise this.

Navicular Stress Fractures

Discussion in 'Biomechanics, Sports and Foot orthoses' started by NewsBot, Jul 23, 2006.

  1. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1

    Members do not see these Ads. Sign Up.
    Navicular stress fractures: outcomes of surgical and conservative management
    British Journal of Sports Medicine 2006;40:692-695
     
  2. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Stress fracture

    Navicular stress fractures: a prospective study on athletes.
    Foot Ankle Int. 2006 Nov;27(11):917-21
    Saxena A, Fullem B
     
  3. Pigsney

    Pigsney Member

    I have a patient with suspected Navicular stress fracture. Anyone have any experience with this. I have the understanding that an x-ray will not pick this up, and bone scan is the most sensitive....Will a CT or MRI s then be needed to get an idea of the pattern of fracture before treatment and after treatement?
     
  4. drsarbes

    drsarbes Well-Known Member

    Hi Pigsney:
    It always been my understanding that if you can, in fact, see a fracture line on plain films then it is NOT a stress fracture but a fracture. Regardless of the underlying cause. Much like a metatarsal fracture vs stress fracture. If one views a fracture line through a metatarsal is it proper to call this a “stress” fracture or is it more properly labeled a fracture? Then we can describe the fracture line itself (transverse, spiral oblique, etc....) I do not agree with the terminology of calling true fractures “stress” fractures merely because some non-direct traumatic forces were applied to the bone in question.
    Bone scans are very helpful but do not rule out active periostitis.
    In my opinion true stress fractures of the Naviclular are normally diagnosed clinically with verification by bone scan. It’s been my experience that as long as the patient decreases his/her activity and “the patient and the navicular are in the same room,” it will heal !!!!

    Good luck
    Steve
     
  5. Pigsney

    Pigsney Member

    HMM
    Okay, so no need for complete non-weightbearing with cast? One text book I was reading said this was necessary due to high tendency of non-union due to avascularity?
     
  6. drsarbes

    drsarbes Well-Known Member

    "HMM
    Okay, so no need for complete non-weightbearing with cast? One text book I was reading said this was necessary due to high tendency of non-union due to avascularity?"

    Hi Pigsny:
    Well, again, if you are talking stress fracture, no. If you are talking a fractured Navicular, then probably. You didn't mention the age and general health of your patient nor what the actual fracture was other than calling it a "stress fracture".

    My previous post was trying to point out this very problem with the "stress fracture" terminology. What is a stress fracture to one practitioner may be called something else by another.

    Steve
     
  7. Pigsney

    Pigsney Member

    Hey hey drsarbes
    Healthy girl early/mid 20's ..... participates in aerobics 3 times a week and has been for over a year. No investigations completed as yet besides clinical so I don't know what type of fracture if any fracture at all. Treatment at the moment is strapping and rest from aggravating activity. Vague pain with excessive force placed on foot. Suspect it could be a fracture which has gradually happened over a period of time due to the forces placed on it from aerobics.

    Pigsney
     
  8. drsarbes

    drsarbes Well-Known Member

    Hi Pigsney:
    Sounds like it's not too serious. As long as she's responding to your present treatment and a little TLC no need to do anything else. You may want to evaluate her biomechanically. She may be in the over use category.
    Good luck

    Steve
     
  9. admin

    admin Administrator Staff Member

    Stress fracture of the navicular bone
    Paul F. G. de Clercq, Bernhard Devos Bevernage, Thibaut Leemrijse
    ACTA ORTHOPÆDICA BELGICA 2008, N° 6 (Vol. 74/6)
     
  10. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Management of Tarsal Navicular Stress Fractures: Conservative Versus Surgical Treatment: A Meta-Analysis
    Joseph S. Torg, James Moyer, John P. Gaughan, and Barry P. Boden
    Am J Sports Med published 2 March 2010, 10.1177/0363546509355408
     
  11. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Navicular stress fracture in high-performing twin brothers: a case report.
    Van Meensel AS, Peers K.
    Acta Orthop Belg. 2010 Jun;76(3):407-12.
     
  12. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical and Computed Tomography Evaluation of Surgical Outcomes in Tarsal Navicular Stress Fractures
    Jeremy J. McCormick et al
    Am J Sports Med April 22,
     
  13. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Clinical and Computed Tomography Evaluation of Surgical Outcomes in Tarsal Navicular Stress Fractures.
    McCormick JJ, Bray CC, Davis WH, Cohen BE, Jones CP 3rd, Anderson RB.
    Am J Sports Med. 2011 Apr 22. [Epub ahead of print]
     
  14. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Vascularized Scapular Free Bone Graft after Nonunion of a Tarsal Navicular Stress Fracture: A Case Report
    Adam J. Toren, David B. Hahn, William C. Brown, Paul A. Stone, Alan Ng,
    Journal of Foot and Ankle Surgery; Article in Press
     
  15. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Navicular stress fracture injury: observational use of plantar pressure measures in elite AFL footballers
    Ian North and Laurence Foley
    Journal of Foot and Ankle Research 2013, 6(Suppl 1):p11 doi:10.1186/1757-1146-6-S1-P11
     
  16. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Navicular stress fractures treated with minimally invasive fixation
    Korula Mani Jacob, Roger S Paterson
    Indian J Orthop 2013;47:598-601
     
  17. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Delayed healing of a navicular stress fracture, following limited weight-bearing activity
    Matthew Robinson, Mark Fulcher
    BMJ Case Reports 2014; doi:10.1136/bcr-2013-203216
     
  18. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Evaluation of Tarsal Navicular Stress Fracture Fixation Using Intraoperative O-arm Computed Tomography
    Andrew R. Hsu, MD, Simon Lee, MD
    Foot Ankle Spec April 23, 2014
     
  19. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
  20. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Imaging of tarsal navicular stress injury with a focus on MRI: A pictorial essay
    G Harris; C Harris
    Journal of Medical Imaging and Radiation Oncology; Early View
     
  21. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Tarsal Navicular Stress Fracture Revisited
    The Unequivocal Case For Conservative, Non-Surgical Management

    Joseph S. Torg et al
    Foot & Ankle Orthopaedics September 2016 – December 2016 vol. 1 no. 1
     
  22. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Operative Management of Navicular Stress Fractures in Adolescence
    Kyung Tai Lee et al
    J Korean Foot Ankle Soc 2016;20:170-175
     
  23. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The Operative Management of Navicular Stress Fractures in Adolescence
    Kyung Tai Lee, Ki Chun Kim, Ki Won Young, and Chang Ho Cho
    J Korean Foot Ankle Soc. 2016 Dec;20(4):170-175
     
  24. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Tarsal navicular stress fractures
    Shakked, R.J., Walters, E.E. & O’Malley, M.J.
    Curr Rev Musculoskelet Med (2017). doi:10.1007/s12178-017-9392-9
     
  25. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Therapeutic Ultrasound in Navicular Stress Injuries in Elite Track and Field Athletes.
    Malliaropoulos N et al
    Clin J Sport Med. 2017 May;27(3):278-282. doi: 10.1097/JSM.0000000000000356.
     
Loading...

Share This Page