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Stress fracture of the navicular bone in a patient with cerebral palsy: a case report
Mari Yoshikawa1, Yoshitaka Nakanishi, Yoshika Kawamura
1Department of Rehabilitation Medicine, Kitakyushu Rehabilitation Center for Children with Disabilities, Japan.
Abstract:
A 14-year-old girl with cerebral palsy (spastic diplegia) underwent examination due to a chief complaint of right foot pain, and was diagnosed with a stress fracture of the central one third of the navicular bone. The fracture was considered to have developed due to repeated loading on the navicular bone as a result of an equinus gait.Therefore, she underwent osteosynthesis and Achilles tendon lengthening to correct the equinus deformity. Following our review of the current literature, we did not identify any reports of stress fracture of the navicular bone in cerebral palsy. We believe that in cases where cerebral palsy patients with paralytic equinus complain of foot pain, the possibility of stress fracture of the navicular bone should be considered.
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