Fracture-dislocation of the tarsal navicular in a soccer player

We describe an unusual injury of the mid-tarsal region in a soccer goalkeeper. The injury occurred in a training game as a result of an abduction-plantar-flexion. Radiographs showed a fracture-dislocation of the tarsal navicular. The patient was treated by closed reduction with percutaneous fixation using two Kirschner wires. The end-result was satisfactory but the patient felt pain in the mid-foot during and after sports activities and was unable to continue playing as a goalkeeper.