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21.01.2017 | Foot and Ankle Sports Medicine (M Drakos, section editor) | Ausgabe 1/2017

Current Reviews in Musculoskeletal Medicine 1/2017

Tarsal navicular stress fractures

Zeitschrift:
Current Reviews in Musculoskeletal Medicine > Ausgabe 1/2017
Autoren:
Rachel J. Shakked, Emily E. Walters, Martin J. O’Malley
Wichtige Hinweise
This article is part of the Topical Collection on Foot and Ankle Sports Medicine

Abstract

Purpose of review

Navicular stress fractures are common in athletes and management is debated. This article will review the evaluation and management of navicular stress fractures.

Recent findings

Various operative and non-operative adjunctive treatment modalities are reviewed including the relevance of vitamin D levels, use of shock wave therapy and bone marrow aspirate concentrate (BMAC), and administration of teriparatide. Surgical treatment may be associated with earlier return to sports.

Summary

The author’s preferred treatment algorithm with corresponding images is presented which allows for safe and rapid return to activities in the athletic patient. Future research is needed in evaluating the preventative effects of vitamin D and use of other adjunctive treatments to increase the healing rates of this fracture.

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