Tarsal navicular stress fractures

Abstract

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.

Keywords

NavicularStress fractureVitamin D

Autor / Fonte:Rachel J Shakked, Emily E Walters, Martin J O´Malley Current Reviews in Musculoskeletal Medicine 2017 January 21
Link: http://link.springer.com/article/10.1007/s12178-017-9392-9