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Titre : | Navicular Fracture (2022) |
Auteurs : | Manuel Monteagudo ; Pilar Martínez-de-Albornoz |
Type de document : | Article |
Dans : | Foot and Ankle Clinics (Vol. 27, n° 2, June 2022) |
Article en page(s) : | p. 457-474 |
Note générale : | https://doi.org/10.1016/j.fcl.2021.11.024 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Fractures de fatigue ; Os du tarse ; Pied |
Résumé : |
The tarsal navicular is an essential component of the Chopart joint (as part of the coxa pedis, the hip joint of the foot), crucial for most of hindfoot motion, and the most frequently
injured tarsal bone. Most acute fractures are low-energy dorsal avulsions that may be treated nonoperatively. Displaced comminuted fractures require open reduction and internal fixation and often the use of external fixation, bridge plating, and bone grafting. Diagnosis of stress fractures is commonly delayed. Although conservative treatment is associated with good results, surgery allows for a quicker return-to-play in athletes. Nonunion is a potential complication of acute and stress fractures and treatment involves open debridement, bone grafting, and stable fixation with screws. Muller-Weiss disease may present with a fragmented navicular and mimic an acute or a stress fracture. Failure to identify a dysplastic navicular may lead to the incorrect diagnosis and treatment. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S1083751521001662 |