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Navicular Stress Fractures of the Foot

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Sports Injuries

Abstract

The navicular stress fracture presents clinically as deep-located pain, insidious on onset and occurring after physical activity. Diagnosis would be assisted by bone scan and CT, which would usually show a fracture in the sagittal plane involving the dorsal part of the bone. Differential diagnosis may include a bipartite navicular, an accessory navicular, osteochondritis dissecans, avascular necrosis, or Kienboeck’s disease. Treatment could be conservative using a weight-bearing or preferably a non-weight-bearing cast for 6 weeks and occasionally surgical intervention. In either treatment protocol, results are often unsatisfactory and the athlete should be advised of this prior to initiating treatment.

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Author information

Authors and Affiliations

  1. Service of Sports Injuries, Department of Orthopaedic Surgery, Meir Medical Centre, Tel Aviv University, Tel Aviv, Israel

    Gideon Mann

  2. Department of Orthopedic Surgery, Meir Medical Centre, Tsharnichovski street 59, Kfar Saba, Israel

    Iftach Hetsroni

  3. Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

    Iftach Hetsroni

  4. Department of Orthopedic Surgery, The Hadassah-Hebrew University Medical Center, Mount Scopus, Jerusalem, Israel

    Naama Constantini

  5. Orthopedic Department, Meir Medical Centre, Tsharnichovski st. 59, Kfar Saba, Israel

    Eran Dolev, Ezequiel Palmanovich & Iris Eshed

  6. Unit of Sports Medicine, Department of Orthopedics, Hadassah University Hospital, Mount Scopus, Jerusalem, Israel

    Alex Finsterbush

  7. Orthopedic Surgery Department, Rambam Health Care Campus, Ha’Aliya Hashniya 8, Haifa, Israel

    Eran Keltz

  8. Orthopaidic Department, Sports Devision, Hip Preservation Service, University of Colorado Medical School, Boulder, CO, USA

    Omer Mei-Dan

  9. Department of Diagnostic Imaging, Sheba Medical Center, Tel Hashomer, Israel

    Iris Eshed

  10. Department of Orthopedic Surgery, Meir University Hospital Medical Center, Tsharnichovski st. 59, Kfar-Saba, Israel

    Niv Marom

  11. Department of Orthopaedic Surgery, Meir Medical Center, Jerusalem, Israel

    Meir Nyska

  12. The Sackler School of Medicine, Tel-Aviv University, 59 Tshernichovski Street, Kfar Saba, Israel

    Meir Nyska

Authors
  1. Gideon Mann
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  7. Eran Keltz
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  8. Omer Mei-Dan
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  9. Iris Eshed
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  10. Niv Marom
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  11. Meir Nyska
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Correspondence to Gideon Mann .

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Editors and Affiliations

  1. Department of Orthopaedics and Traumatology and Department of Sports Medicine, Hacettepe University, Istanbul, Turkey

    Mahmut Nedim Doral

  2. Department of Orthopaedic Surgery, Sahlgrenska Academy, University of Gothenburg, Sahlgrenska University Hospital, Gothenburg, Sweden

    Jon Karlsson

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Mann, G. et al. (2015). Navicular Stress Fractures of the Foot. In: Doral, M.N., Karlsson, J. (eds) Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36569-0_163

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  • DOI: https://doi.org/10.1007/978-3-642-36569-0_163

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-36568-3

  • Online ISBN: 978-3-642-36569-0

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