TRAUMA-NAVICULAR FRACTURE

SUMMARY

1. Have a higher likelihood of delayed union, nonunion, or avascular necrosis than other stress fractures.

2. Radiographs are often normal, and an MRI or bone scan might be necessary to confirm the diagnosis.

3. Dorsal navicular fractures have the best prognosis, healing by 3 months.

4. Fractures that propagate across the body to involve another cortex have poorer prognosis.

5. Initial management of these fractures consists of non–weight-bearing with boot immobilization for 6 to 8 weeks.

6. If symptoms persist, consider ORIF.

Reference(s)

Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].