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Navicular Stress Fractures
Karan A Patel1, Zachary K Christopher, Mark C Drakos
1From the Department of Orthopaedic Surgery, Mayo Clinic Arizona, Phoenix, AZ (Patel, Christopher), and Department of Orthopaedic Surgery, Hospital for Special Surgery, New York, NY (Drakos, O'Malley).
Abstract:
Navicular stress fractures are multifactorial injuries due to chronic overload on the navicular, particularly in young athletes. The navicular is subject to unique stresses and has a complex blood supply, making it susceptible to stress fractures and potentially delayed union or nonunion. Expeditious diagnosis is critical to prevent a delay in treatment and a poor outcome. Advanced imaging is essential in making the diagnosis and monitoring healing. Both nonsurgical and surgical treatments have demonstrated good results. Nonsurgical management consists of a period of immobilization and nonweight bearing, and surgical management typically involves open reduction and internal fixation. Patients need to be appropriately counseled regarding expectations for these challenging injuries.
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