Navicular Fractures (Subscribe)

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Navicular Fracture eMedicine Sports

Authors Ameres et al 2005
Contents - Introduction; Clinical; Differentials; Workup; Treatment; Medication; Follow-up; Miscellaneous; Multimedia; References
The navicular plays an important role in maintaining the medial longitudinal arch of the foot. Commonly, fractures of the navicular are not evident on plain radiographs. This often leads to a delay in diagnosis, which may result in prolonged disabling foot pain in individuals, particularly young athletes. The 4 types of navicular fractures are (1) cortical avulsion, (2) tuberosity, (3) body, and (4) stress.

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OTA Navicular Fracture Classification

From the OTA Fracture and Dislocation Compendium

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Tarsal Navicular Wheeless

Navicular joins in front with medial, intermediate, & lateral cuneiform bones, which articulate anteriorly with first, second, and third metatarsals;
- navicular provides insertion for tibialis posterior;
- blood supply to the navicular bone is radial and extraarticular & is subject to loss both at time of injury & at time of surgical treatment;
Wheeless' Textbook of Orthopaedics

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