3, No. Avulsion Fracture; Tarsal Navicular body Fracture; Advanced imaging indications. 1, 20 November 2016 | The American Journal of Sports Medicine, Vol. 4, Topics in Magnetic Resonance Imaging, Vol. 9, Clinics in Sports Medicine, Vol. The avulsion fracture normally is easily recognized on a lateral radiograph of the foot. 37 (8): 541-6. 23, No. 6, 30 August 2016 | Foot & Ankle, Vol. Both feet were scanned for comparison. 4, 13 August 2015 | Foot & Ankle International, Vol. 6, Journal of Orthopaedic Research, Vol. Patients generally have normal range of motion and a normal neurovascular examination 1. 2, Orthopedic Clinics of North America, Vol. 1, Clinics in Sports Medicine, Vol. After excluding fractures in patients referred from other institutions (10), stress fractures (8), Sangeorzan/Schmid type I fractures (14), and those in patients lost to follow-up (55), there were 39 operatively treated, displaced, and/or comminuted body fractures with at least 3 years of complete x-ray follow-up. 98-B, No. Navicular fractures along with cuboid fractures form the most common isolated mid-foot fractures. 4, Clinics in Sports Medicine, Vol. 47, No. Radiographic examinations of 23 fractures in 21 patients are evaluated. Standing X-rays may reveal a fracture line. Stress fractures are most common in the weight-bearing bones of the lower extremity, especially the lower leg and the foot (Figure). Find the 100% best way to treat your navicular stress fracture! Revue de la littérature à propos de 5 observations, Radionuclide Bone Scintigraphy in Pediatric Orthopedics, Plantar Fascitis?Early Blood Pool Images in Diagnosis of Inflammatory Process. 4. Stress fractures in athletes and construction workers may present with vague pain and swelling over the mid-foot which worsens with exercise. 10, No. 2, Seminars in Roentgenology, Vol. Typical stress fracture of the distal shaft of the second metatarsal not seen on initial radiograph (left). 3, 23 April 2016 | The American Journal of Sports Medicine, Vol. 2, Radiologic Clinics of North America, Vol. Type II fractures require open reduction and internal fixation followed by external fixation. (b) Axial multiplanar CT image confirms the stress fracture (arrow) as well as normal bone density throughout the tarsal bone. 33, No. CT, MRI, and bone scans may be helpful in confirming the diagnosis if X-rays don't show the fracture. The radiographic diagnosis of a tarsal navicular stress fracture may require anatomic anteroposterior tomograms or a radionuclide bone scan with plantar views. 17, No. 9 (1): 25-63. A navicular fracture is one of the #1 most common causes of top of the foot pain. 29, No. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. Undisplaced fractures can be managed conservatively in a cast 3. 40, No. 47, No. In most cases, contiguous 1.5-mm axial and 3-mm coronal scans of the navicular bone had been obtained. Their sensitivity for identifying navicular fracture is low, however lateral and oblique radiographs provide the greatest chance of identifying a fracture. 32, No. Tarsal navicular stress fractures are a potential source of disabling foot pain in physically active individuals. A history and physical exam are the most important tools for diagnosing a navicular stress fracture. Gustilo Anderson classification (compound fracture), longitudinal versus transverse petrous temporal bone fracture, naso-orbitoethmoid (NOE) complex fracture, cervical spine fracture classification systems, AO classification of upper cervical injuries, Roy-Camille classification (odontoid process fracture ), subaxial cervical spine injury classification (SLIC), thoracolumbar spinal fracture classification systems, AO classification of thoracolumbar injuries, thoracolumbar injury classification and severity score (TLICS), Rockwood classification (acromioclavicular joint injury), Neer classification (proximal humeral fracture), AO classification (proximal humeral fracture), Milch classification (lateral humeral condyle fracture), Weiss classification (lateral humeral condyle fracture), Bado classification of Monteggia fracture-dislocations (radius-ulna), Mason classification (radial head fracture), Frykman classification (distal radial fracture), Hintermann classification (gamekeeper's thumb), Eaton classification (volar plate avulsion injury), Keifhaber-Stern classification (volar plate avulsion injury), Judet and Letournel classification (acetabular fracture), Harris classification (acetebular fracture), Young and Burgess classification of pelvic ring fractures, Pipkin classification (femoral head fracture), American Academy of Orthopedic Surgeons classification (periprosthetic hip fracture), Cooke and Newman classification (periprosthetic hip fracture), Johansson classification (periprosthetic hip fracture), Vancouver classification (periprosthetic hip fracture), Winquist classification (femoral shaft fracture), Schatzker classification (tibial plateau fracture), Lauge-Hansen classification (ankle injury), Danis-Weber classification (ankle fracture), Berndt and Harty classification (osteochondral lesions of the talus), Sanders CT classification (calcaneal fracture), Hawkins classification (talar neck fracture), anterior superior iliac spine (ASIS) avulsion, anterior cruciate ligament avulsion fracture, posterior cruciate ligament avulsion fracture, avulsion fracture of the proximal 5th metatarsal, chronic overuse injuries causing a stress fracture (often in athletes). However, as with all bone scintigraphy, this is non-specific; the increased uptake can also be due to osteomyelitis, bone tumors or avascular necrosis. Stress fractures in athletes and construction workers may present with vague pain and swelling over the mid-foot which worsens with exercise. 6, Journal of Korean Foot and Ankle Society, Vol. 1, Clinics in Sports Medicine, Vol. Instructional Course Lectures, The American Academy of Orthopaedic Surgeons. 1, Radiologic Clinics of North America, Vol. Subacute navicular stress fracture. 1, Clinics in Sports Medicine, Vol. 4, 1 September 2006 | Foot & Ankle International, Vol. 1, No. 8, 13 April 2011 | Skeletal Radiology, Vol. 20, No. Acute fractures of the tarsal navicular. 24, No. 33, No. The navicular stress fracture is discussed in Chapters 3 and 4 Chapter 3 Chapter 4. 40, No. 4, 18 August 2017 | Orthopaedic Journal of Sports Medicine, Vol. Fifty-five navicular stress fractures in 54 patients whose initial and follow-up CT scans were available for study were retrospectively reviewed. American volume. (2016) Journal of medical imaging and radiation oncology. Unable to process the form. 3, Sports Medicine and Arthroscopy Review, Vol. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. Publish Ahead of Print, 20 April 2018 | Orthopaedic Journal of Sports Medicine, Vol. Generally, large or significantly displaced intra-articular navicular fractures are treated best by surgical intervention. 9, No. The Use of Scintigraphy to Detect Increased Osseous Metabolic Activity about the Knee. 6, No. 14, No. Displaced type I and II fractures typically require open reduction and internal fixation with screw lag fixation. 17, No. 15, No. Journal of the American Academy of Orthopaedic Surgeons, Vol. 16, No. 4, The Bone & Joint Journal, Vol. The diagnosis of tarsal navicular stress fracture requires a high index of clinical and radiographic suspicion because the fracture is only rarely evident on routine radiographs or standard tomograms. Tarsal Navicular Stress Fracture; May be indicated per specialist recommendation to define Fracture lines and associated Soft Tissue Injury; Management.