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Area of Science:

  • Orthopedic Surgery
  • Podiatric Medicine
  • Sports Medicine

Background:

  • The tarsal navicular bone is crucial for the medial longitudinal arch of the foot.
  • Navicular injuries can lead to significant long-term functional impairments.
  • These injuries include stress fractures, acute avulsion, tuberosity, and body fractures.

Purpose of the Study:

  • To provide an overview of the recognition and treatment of common navicular bone injuries.
  • To discuss both operative and nonoperative management strategies.
  • To highlight potential complications following surgical intervention.

Main Methods:

  • Literature review of common navicular bone injury presentations.
  • Summary of current treatment guidelines for various fracture types.
  • Discussion of post-operative complications and their management.

Main Results:

  • Nonoperative treatment is standard for avulsion injuries and nondisplaced body fractures.
  • Open reduction and internal fixation are used for displaced fractures requiring anatomic reduction.
  • Common complications include pain, stiffness, arthritis, avascular necrosis, nonunion, and hindfoot deformity.

Conclusions:

  • Accurate diagnosis and appropriate treatment are essential for managing navicular bone injuries.
  • Understanding potential complications is vital for patient outcomes.
  • This review offers a guide for clinicians dealing with these challenging foot fractures.