II. Mechanism
- Concurrent Fracture dislocation (high energy injury)
- Talocalcaneonavicular joint
- Calcaneocuboid joint
- Naviculocuneiform joint
- Avulsion Fracture (50% of Navicular Fractures)
- Plantar flexion with inversion or eversion
- Tuberosity Fracture
- Eversion injury
- Navicular body Fracture
- Direct or axial load
- Stress Fracture
III. Imaging
- Weight-Bearing, Three View Foot XRay (AP, lateral, oblique)
- Obtain initial and again every 2 weeks until healed
- Monitor for nonunion
- Findings
- Avulsion Fracture
- Tuberosity Fracture
- Tarsal Navicular body Fracture
- Obtain initial and again every 2 weeks until healed
- Advanced imaging indications
- Tarsal Navicular Stress Fracture
- May be indicated per specialist recommendation to define Fracture lines and associated Soft Tissue Injury
IV. Management
- See Tarsal Navicular Stress Fracture
- Minor avulsion Fracture (low energy injury)
- Short Leg Walking Cast or boot for 4 to 6 weeks
- May switch to hard soled shoe at 4 weeks if healing on XRay and exam
- Navicular body Fracture
- Short Leg Walking Cast or boot for 6 to 8 weeks
- Significant injury with suspected Ligamentous Injury
- Non-weight bearing and splint
- Orthopedic or Podiatry referral
- Orthopedic or Podiatry Referral Indications
V. References
- Orman and Ramadorai in Herbert (2016) EM:Rap 16(12): 8-9
- Silver (2024) Am Fam Physician 109(2): 119-29 [PubMed]
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Related Studies
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 |