See Also
1. Osteochondritis
2. Pediatric Limp
Epidemiology
1. Age: Onset at age 2-8 years
2. Gender: Boys affected 3-5 times more commonly than girls
Pathophysiology
1. Unknown etiology
2. Not associated with trauma
3. Avascular necrosis of Tarsal Navicular
Symptoms
1. Presents with midfoot pain and Pediatric Limp
Signs
1. Local pain, tenderness, swelling over Tarsal Navicular
Imaging: Foot XRay
1. Flattening, sclerosis, fragmentation and irregularity of Tarsal Navicular
Management
1. Protect from excessive trauma
2. Short walking cast for 7-8 weeks
Prognosis
1. Spontaneous recovery by rule
2. Complete Navicular re-ossification in 2-3 years
References
1. Atanda (2011) Am Fam Physician 83(3): 285-91
2. Borges (1995) J Pediatr Orthop 15(5): 596-8

Family Practice Notebook

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This page was written by Scott Moses, MD, last revised on 11/23/2011 and last published on 5/14/2013.

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