II. Mechanism

  1. Concurrent Fracture dislocation (high energy injury)
    1. Talocalcaneonavicular joint
    2. Calcaneocuboid joint
    3. Naviculocuneiform joint
  2. Stress Fracture
    1. Tarsal Navicular Stress Fracture

III. Imaging

  1. XRay
    1. Avulsion Fracture
    2. Tarsal Navicular body Fracture
  2. Advanced imaging indications
    1. Tarsal Navicular Stress Fracture
    2. May be indicated per specialist recommendation to define Fracture lines and associated Soft Tissue Injury

IV. Management

  1. See Tarsal Navicular Stress Fracture
  2. Minor avulsion Fracture (low energy injury)
    1. Walking boot (CAM Boot) for 4-6 weeks
  3. Significant injury with suspected Ligamentous Injury
    1. Non-weight bearing and splint
    2. Orthopedic referral
  4. Surgery often required

V. References

  1. Orman and Ramadorai in Herbert (2016) EM:Rap 16(12): 8-9

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Ontology: Fracture of navicular (C0435939)

Concepts Injury or Poisoning (T037)
SnomedCT 263248002
Dutch naviculare fractuur, fractuur; naviculare, naviculare; fractuur
German Kahnbeinbruch
Italian Frattura del navicolare
Portuguese Fractura do escafóide
Spanish Fractura navicular, fractura de hueso navicular (trastorno), fractura de hueso navicular, fractura del escafoides del pie
Japanese 舟状骨骨折, シュウジョウコツコッセツ
French Fracture de l'os naviculaire
Czech Zlomenina člunkovité kosti (os scaphoideum, naviculare)
English Navicular fracture, navicular (foot) fracture, navicular fracture, foot fractures navicular, fracture navicular, navicular foot fracture, fractures navicular, foot fracture navicular, fracture of navicular bone of foot, fracture of tarsal bone(s) navicular, fracture of navicular bone of foot (diagnosis), Fracture of navicular, Fracture of navicular (disorder), fracture; navicular, navicular; fracture
Hungarian Os naviculare törés