Tarsal navicular stress fractures

Shakked, Rachel; Walters, Emily E.; O’Malley, Martin J.

doi:10.1007/s12178-017-9392-9

Cited by 31 publications

(18 citation statements)

References 56 publications

(79 reference statements)

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“…Especially runners who have already had a stress fracture are at high risk of low bone density [ 179 ]. For certain fractures, the preventive use of 25(OH)D is considered [ 180 ]. Up to now it has not been proven that the increased intake of calcium and 25(OH)D is useful for the prevention of stress fractures [ 11 ].…”

Section: 25(oh)d Supplementation As a Preventive Measurementioning

confidence: 99%

Vitamin D and Stress Fractures in Sport: Preventive and Therapeutic Measures—A Narrative Review

et al. 2021

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There are numerous risk factors for stress fractures that have been identified in literature. Among different risk factors, a prolonged lack of vitamin D (25(OH)D) can lead to stress fractures in athletes since 25(OH)D insufficiency is associated with an increased incidence of a fracture. A 25(OH)D value of <75.8 nmol/L is a risk factor for a stress fracture. 25(OH)D deficiency is, however, only one of several potential risk factors. Well-documented risk factors for a stress fracture include female sex, white ethnicity, older age, taller stature, lower aerobic fitness, prior physical inactivity, greater amounts of current physical training, thinner bones, 25(OH)D deficiency, iron deficiency, menstrual disturbances, and inadequate intake of 25(OH)D and/or calcium. Stress fractures are not uncommon in athletes and affect around 20% of all competitors. Most athletes with a stress fracture are under 25 years of age. Stress fractures can affect every sporty person, from weekend athletes to top athletes. Stress fractures are common in certain sports disciplines such as basketball, baseball, athletics, rowing, soccer, aerobics, and classical ballet. The lower extremity is increasingly affected for stress fractures with the locations of the tibia, metatarsalia and pelvis. Regarding prevention and therapy, 25(OH)D seems to play an important role. Athletes should have an evaluation of 25(OH)D -dependent calcium homeostasis based on laboratory tests of 25-OH-D3, calcium, creatinine, and parathyroid hormone. In case of a deficiency of 25(OH)D, normal blood levels of ≥30 ng/mL may be restored by optimizing the athlete’s lifestyle and, if appropriate, an oral substitution of 25(OH)D. Very recent studies suggested that the prevalence of stress fractures decreased when athletes are supplemented daily with 800 IU 25(OH)D and 2000 mg calcium. Recommendations of daily 25(OH)D intake may go up to 2000 IU of 25(OH)D per day.

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Section: 25(oh)d Supplementation As a Preventive Measurementioning

confidence: 99%

Vitamin D and Stress Fractures in Sport: Preventive and Therapeutic Measures—A Narrative Review

et al. 2021

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“…Surgical intervention is typically reserved for failure of conservative management, or among elite athletes such as NBA players, particularly with navicular stress fractures. 26 Navicular stress fractures account for 25% of all stress fractures and have a predilection for young, male athletes. 26 Studies have shown that navicular stress fractures were slower to heal, had higher nonunion rates, and resulted in a slower return to activity when managed conservatively.…”

Section: Ankle Fracturementioning

confidence: 99%

Management of ankle injuries in professional basketball players: Prevalence and rehabilitation

Moore¹,

Haglin²,

Hassebrock³

et al. 2021

Orthop Rev (Pavia)

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Basketball is a popular internationally played sport. With the physical requirements the game has on athletes, players are at risk of injury. Ankle injuries are the most common injury type suffered by basketball players. In this comprehensive review, we present an analysis and overview of the most common ankle injuries among basketball players, including sprains, fractures, impingement, and Achilles tendon pathology. The review includes treatment modalities for such injuries. More research is warranted regarding prevention strategies.

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“…This is accomplished using a 3.5-to 4.0mm partially or fully threaded cortical lag screw placed percutaneously from medial to lateral. 68,69 Bone marrow aspirate concentrate obtained from the calcaneus is infused at the fracture site to augment healing, particularly if fracture margins are sclerotic. 66 At 10 weeks, CT is usually performed to evaluate healing with the goal of 100% union.…”

Section: Navicularmentioning

confidence: 99%

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware

Mar

Schilling

Lomasney

et al. 2019

Semin Musculoskelet Radiol

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Radiologists should be familiar with basic principles of fracture fixation and the normal imaging appearances of implant constructs and their complications. The surgeon's selection of external fixation, intramedullary nail fixation, open reduction and internal fixation, or some combination depends on patient factors, fracture configuration, injury to the soft tissue envelope, and surgeon experience. Complications including loss of fixation with resultant malalignment, nonunion, infection, and posttraumatic osteoarthritis present additional challenges for the surgeon as well as the radiologist. This article reviews the rationale behind fracture fixation in fractures of the lower leg, ankle, and foot. Examples of postoperative complications are also reviewed.

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Tarsal navicular stress fractures

Cited by 31 publications

References 56 publications

Vitamin D and Stress Fractures in Sport: Preventive and Therapeutic Measures—A Narrative Review

Vitamin D and Stress Fractures in Sport: Preventive and Therapeutic Measures—A Narrative Review

Management of ankle injuries in professional basketball players: Prevalence and rehabilitation

Radiologic Evaluation of Lower Leg, Ankle, and Foot Fracture Fixation Hardware

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