Fractures of the navicular.

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Abstract

[Indexed for MEDLINE] 7. Clin Podiatr Med Surg. 2018 Apr;35(2):145-159. doi: 10.1016/j.cpm.2017.12.001. Epub 2018 Feb 1. Surgical Management Navicular and Cuboid Fractures. Clements JR(1), Dijour F(2), Leong W(2). Author information: (1)Virginia Tech-Carilion School of Medicine, 3 Riverside Circle, Roanoke, VA 24014, USA. Electronic address: jrclements@carilionclinic.org. (2)Podiatric Medical and Surgical Residency, Reconstructive Rearfoot and Ankle, Carilion Clinic, 3 Riverside Circle, Roanoke, VA 24014, USA. The tarsal navicular is a critical component of the foot's medial longitudinal arch. Injuries to the navicular have significant long-term functional consequences. In addition to stress fractures, acute injuries to the navicular include acute avulsion, tuberosity, and body fractures. Nonoperative treatment is the mainstay for avulsion injuries and nondisplaced body fractures. Open reduction and internal fixation is performed to achieve anatomic reduction in the other situations. Common complications following operative intervention include pain, stiffness, post-traumatic arthritis, avascular necrosis, nonunion, and hindfoot deformity. This article provides an overview for recognition and treatment of common presentations of these injuries as described in the literature. Copyright © 2017 Elsevier Inc. All rights reserved. DOI: 10.1016/j.cpm.2017.12.001