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Updated: Oct 29, 2025
Autologous Microfractured and Purified Adipose Tissue for Arthroscopic Management of Osteochondral Lesions of the Talus
Published on: January 23, 2018
Severe Talonavicular Osteoarthritis After a Neglected Navicular Stress Fracture: A Case Report
Hidenori Morio1, Kazuya Sugimoto1, Shinji Isomoto1
1Department of Orthopaedic Surgery, Nara Prefecture General Hospital, Nara, Japan.
Case:
A 17-year-old high school rugby player complained of right midfoot pain for 18 months. Radiographs showed severe osteoarthritic changes in the right talonavicular joint. A navicular fracture, talonavicular joint narrowing, a talar head cyst, and proximal navicular fragmentation were detected on computed tomography (CT). The patient underwent removal of the osteochondral fragments and fracture reduction and returned to rugby 8 months postoperatively. CT showed a remodeling of the talonavicular joint 2 years postoperatively.
Conclusion:
In a young athlete, reconstruction of the talonavicular joint should be attempted before joint fusion, even if the joint shows signs of secondary osteoarthritis.
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