Navicular stress fractures: outcomes of surgical and conservative management
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British Journal of Sports Medicine 2006;40:692-695
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Fibula stress fractures
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Runners perception of loss of rearfoot cushioning in worn running shoes
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Stress fracture
Navicular stress fractures: a prospective study on athletes.
Foot Ankle Int. 2006 Nov;27(11):917-21
Saxena A, Fullem B
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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?
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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 -
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? -
"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 -
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 -
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 -
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)
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Management of Tarsal Navicular Stress Fractures: Conservative Versus Surgical Treatment: A Meta-Analysis
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Navicular stress fracture in high-performing twin brothers: a case report.
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Clinical and Computed Tomography Evaluation of Surgical Outcomes in Tarsal Navicular Stress Fractures.
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Navicular stress fractures treated with minimally invasive fixation
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Indian J Orthop 2013;47:598-601
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Delayed healing of a navicular stress fracture, following limited weight-bearing activity
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Evaluation of Tarsal Navicular Stress Fracture Fixation Using Intraoperative O-arm Computed Tomography
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From latest Podiatry Today:
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Therapeutic Ultrasound in Navicular Stress Injuries in Elite Track and Field Athletes.
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Navicular Stress Fracture Outcomes in Athletes: Analysis of 62 Injuries
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Foot Kinematics Differ Between Runners With and Without a History of Navicular Stress Fractures.
Becker J et al
Orthop J Sports Med. 2018 Apr 20;6(4):2325967118767363. doi: 10.1177/2325967118767363. eCollection 2018 Apr.
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A Descriptive Analysis of Adolescent Tarsal Navicular Bone Stress Injuries
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AMSSM Mtg
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Return to sport following navicular stress fracture: a systematic review and meta-analysis of three hundred and fifteen fractures
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Adolescent Tarsal Navicular Bone Stress Injuries: A Multicenter Retrospective Analysis of 110 Patients
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Os supranaviculare and navicular osteochondral lesion contributing to the development of a navicular stress fracture in an adolescent male athlete: case report
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Tarsal Navicular Stress Fractures: A Rare Soccer Injury Twelve-Year Follow-Up of the First Reported Case in a Professional Player and Literature Review
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Source
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Tarsal Navicular Bone Stress Injuries: A Multicenter Case Series Investigating Clinical Presentation, Diagnostic Approach, Treatment, and Return to Sport in Adolescent Athletes
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Source
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Fibula stress fractures
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Runners perception of loss of rearfoot cushioning in worn running shoes
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