![]() ![]() Comment on Torg et al., “management of tarsal navicular stress fractures: conservative versus surgical treatment”. Management of tarsal navicular stress fractures: conservative versus surgical treatment: a meta-analysis. Navicular stress fractures: a prospective study on athletes. How do we get these patient back on the field the quickest? In: American Orthopaedic Society for Sports Medicine 2009 Specialty Day Meeting, Las Vegas, 2009. Ultrasound as a primary evaluation tool of bone stress injuries in elite track and field athletes. Tarsal navicular stress injury: long-term outcome and clinicoradiological correlation using both computed tomography and magnetic resonance imaging. Tarsal navicular stress fractures: radiographic evaluation. Results of treatment of 22 navicular stress fractures and a new proposed radiographic classification system. Delayed unions and nonunions of stress fractures in athletes. Intraosseous and extraosseous arterial anatomy of the adult navicular. Contact features of the talonavicular joint of the foot. The anatomy of the navicular and periarticular structures. ![]() Stress fractures of the tarsal navicular. Eighty-six cases proven with computerized tomography. Outcome of conservative and surgical management of navicular stress fracture in athletes. A retrospective review of twenty-one cases. Operation for non-union of stress fracture of the tarsal navicular. ![]() Stress fractures of the tarsal navicular in long-distance runners. Stress fractures of the tarsal navicular bone: CT findings in 55 cases. Tarsal navicular stress fracture in athletes. The incidence and distribution of stress fractures in competitive track and field athletes. Fatigue fracture of the tarsal navicular. This process is experimental and the keywords may be updated as the learning algorithm improves. These keywords were added by machine and not by the authors. In this section we discuss the classification and treatment of traumatic navicular stress fractures. Nevertheless, they must be promptly recognized and appropriately treated in order to prevent long-term sequelae requiring reconstructive surgery. They vary widely in severity due to distinct patterns of injury in a variety of mechanisms. Traumatic tarsal navicular fractures may occur as an isolated injury or may be a part of a more complex injury to the midfoot. In this section we describe the pathophysiology and anatomy of navicular stress fractures and discuss diagnosis and treatment in light of the existing literature. Nonetheless, this is a problematic injury with nonunion and refracture as potential sequelae. There is evidence that decisive conservative or surgical treatment can result in generally good outcomes. While advanced imaging modalities have increased detection of this fracture, delay to diagnosis is still high with recent reports indicating that this delay is commonly up to 7 months. These injuries continue to present a diagnostic challenge as they are associated with vague presentations and are not readily apparent on imaging. Historically underreported, the first published cases were described in 1970 and estimates of incidence have continued to grow since then. In several cases, these have proved to be career ending injuries for professional athletes. Navicular stress fractures, though uncommon, are associated with an extremely poor prognosis if not properly treated. ![]()
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