Navicular Fracture
Condition
(Tarsal Navicular Fracture)
Definition
A navicular fracture is a break in the navicular bone on the top of the midfoot.
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Causes
A navicular fracture may be caused by:
- A direct blow to the foot, such as from falling and landing heavily
- A severe twist
- Repetitive stress to the foot
Risk Factors
A navicular fracture is more common in people who do high impact sports, such as running, tennis, basketball, or gymnastics.
Symptoms
Problems may be:
- Swelling and pain of midfoot
- Pain with activity, such as walking
- Pain that gets better with rest
Diagnosis
The doctor will ask about symptoms and past health. Questions may also be asked about any injury you have had or any activities that you do. A physical exam will be done. It will focus on the foot.
Pictures may be done of the foot. This can be done with:
Treatment
It can take 6 weeks to heal. The goal of treatment is to help the bones heal properly to prevent long term problems.
Prevention
This problem cannot always be prevented. Starting a new sport slowly may help lower the risk of injury. Healthy bones and muscles may also help. This may be done through diet and exercise.
Foot Care MD—American Orthopaedic Foot & Ankle Society
Ortho Info—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Canadian Orthopaedic Association
When it Hurts to Move—Canadian Orthopaedic Foundation
Foot Care MD—American Orthopaedic Foot & Ankle Society
Ortho Info—American Academy of Orthopaedic Surgeons
CANADIAN RESOURCES:
Canadian Orthopaedic Association
When it Hurts to Move—Canadian Orthopaedic Foundation
References
- Navicular fracture—emergency management. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/navicular-fracture-emergency-management.
- Stress fractures of the foot and ankle. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/stress-fractures-of-the-foot-and-ankle.
Contributors
- Laura Lei-Rivera, PT, DPT
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