Results of treatment of 22 navicular stress fractures and a new proposed radiographic classification system

Saxena, Amol; Fullem, Brian; Hannaford, David

doi:10.1016/s1067-2516(00)80033-2

Cited by 150 publications

(131 citation statements)

References 6 publications

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“…Patient outcome is variable although it does correlate with fracture severity [31]. Nonunion after operatively treated navicular stress fractures may be as high as 20% based on post-operative CT imaging [19•].…”

Section: Discussionmentioning

confidence: 99%

“…To help focus treatment approach, Saxena et al developed a tarsal navicular stress fracture classification system based on computed tomography (CT) findings [31].…”

Section: Classificationmentioning

confidence: 99%

“…Using the aforementioned CT-based classification system designed by Saxena et al, navicular stress fractures can be divided into separate groups with associated treatment schemes [31]. CT may also help to identify sclerosis at the fracture edges which may portend a poorer prognosis and potential nonunion.…”

Section: Ctmentioning

confidence: 99%

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Tarsal navicular stress fractures

Shakked

Walters

O’Malley

2017

Curr Rev Musculoskelet Med

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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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Section: Discussionmentioning

confidence: 99%

“…To help focus treatment approach, Saxena et al developed a tarsal navicular stress fracture classification system based on computed tomography (CT) findings [31].…”

Section: Classificationmentioning

confidence: 99%

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Tarsal navicular stress fractures

Shakked

Walters

O’Malley

2017

Curr Rev Musculoskelet Med

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“…8,33 Stress fractures in the navicular bone are often difficult to diagnose. If untreated, they can result in osteoarthritis and delayed consolidation (C) [34][35][36] (B). 37 A large number of stress fractures in the navicular bone may show differences in the outcomes of surgical and nonsurgical treatments for various types of injuries.…”

Section: What Are the Indications For Surgical Treatment?mentioning

confidence: 99%

“…60 It is useful to divide stress injuries into high and low grades. This simplification provides an approximate assessment of the healing time, with high reliability (C) 35 (D). 8,9 Healing time is defined as the time required to return to full activity without any symptoms.…”

Section: Recommendationmentioning

confidence: 99%

Stress fractures in the foot and ankle of athletes

Asano¹,

Duarte²,

Silva³

2014

Rev. Assoc. Med. Bras.

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The Guidelines Project, an initiative of the Brazilian Medical Association, aims to combine information from the medical field in order to standardize procedures to assist the reasoning and decision-making of doctors. The information provided through this project must be assessed and criticized by the physician responsible for the conduct that will be adopted, depending on the conditions and the clinical status of each patient.

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