II. Mechanism
- Concurrent Fracture dislocation (high energy injury)
- Talocalcaneonavicular joint
- Calcaneocuboid joint
- Naviculocuneiform joint
- Stress Fracture
III. Imaging
- XRay
- Avulsion Fracture
- Tarsal Navicular body Fracture
- 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)
- Walking boot (CAM Boot) for 4-6 weeks
- Significant injury with suspected Ligamentous Injury
- Non-weight bearing and splint
- Orthopedic referral
- Surgery often required
V. References
- Orman and Ramadorai in Herbert (2016) EM:Rap 16(12): 8-9