Osteoarthritis Associated Navicular Stress Fractures

NewsBot · Jan 26, 2013

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Osteoarthritis Associated Navicular Stress Fractures
An Underreported Occurrence?
William Dominic Marley, Kyle McDonald, Alistair Wilson
Foot & Ankle International January 20, 2013 (full text)

Osteoarthritis of the midfoot is a common complaint within modern orthopaedic practice. Patients usually present with significant pain, loss of function, and occasionally, deformity. The leading causes of midfoot arthritis include primary degenerative arthritis and posttraumatic joint degeneration.4

We present 2 cases of patients with a stress fracture of the navicular on a background of primary degenerative arthritis. There was no history of trauma, and fracture was not initially visible on plain x-ray in either case. We believe osteoarthritis-associated navicular stress fractures may be underreported in the literature.
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Admin2 · Jan 26, 2013

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NewsBot · Jul 13, 2021

Severe Talonavicular Osteoarthritis After a Neglected Navicular Stress Fracture
A Case Report
Morio, Hidenori et al
JBJS Case Connector: July-September 2021 - Volume 11 - Issue 3 - e20.00442

Case:
A 17-year-old high school rugby player complained of right midfoot pain for 18 months. Radiographs showed severe osteoarthritic changes in the right talonavicular joint. A navicular fracture, talonavicular joint narrowing, a talar head cyst, and proximal navicular fragmentation were detected on computed tomography (CT). The patient underwent removal of the osteochondral fragments and fracture reduction and returned to rugby 8 months postoperatively. CT showed a remodeling of the talonavicular joint 2 years postoperatively.

Conclusion:
In a young athlete, reconstruction of the talonavicular joint should be attempted before joint fusion, even if the joint shows signs of secondary osteoarthritis.
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