Journal of Foot and Ankle Surgery (Asia Pacific)

Register      Login

SEARCH WITHIN CONTENT

FIND ARTICLE

Volume / Issue

Online First

Archive
Volume  9 (2022)
Volume  8 (2021)
Volume  7 (2020)
Volume  6 (2019)
Volume  5 (2018)
Volume  4 (2017)
Volume  3 (2016)
Volume  2 (2015)
Volume  1 (2014)
Related articles

VOLUME 9 , ISSUE 2 ( April-June, 2022 ) > List of Articles

CASE REPORT

Non-union of the Navicular with Associated Talonavicular and Calcaneocuboid Joint Degenerative Arthritis and Its Management: A Case Report

Neetin P Mahajan, GS Prasanna Kumar, Kartik P Pande, Tushar C Patil

Keywords : Degenerative arthritis, Navicular, Non-union

Citation Information : Mahajan NP, Kumar GP, Pande KP, Patil TC. Non-union of the Navicular with Associated Talonavicular and Calcaneocuboid Joint Degenerative Arthritis and Its Management: A Case Report. J Foot Ankle Surg Asia-Pacific 2022; 9 (2):96-98.

DOI: 10.5005/jp-journals-10040-1176

License: CC BY-NC 4.0

Published Online: 01-04-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Introduction: Tarsal navicular bone fractures are most commonly occurs as a result of either trauma or undue stress. The stress causes higher incidence in younger individuals and athletes. These fractures are at higher risk of going to non-union and osteonecrosis because of the bone\'s tenuous blood supply as well as the joint complexity. Case description: A 40-year-old male patient presented with complaints of right foot pain for 2 years with an old history of trauma. Radiological examination revealed non-union of the right navicular with adjacent joint degeneration. We managed with open reduction and internal fixation using a cannulated cancellous screw. At 1-year follow-up, the patient has got a good radiological and functional outcome. Conclusion: Navicular non-unions are well managed with open reduction and internal fixation using cannulated cancellous screws, which helps in getting compression at the non-union site and provides stability. Early surgical intervention helps to prevent adjacent joint degenerative arthritis. CT scan evaluation is very essential to diagnose the non-union navicular as the X-rays appear normal in most cases.

PDF Share
  1. Ramadorai MU, Beuchel MW, Sangeorzan BJ. Fractures and dislocations of the tarsal navicular. J Am Acad Orthop Surg 2016;24(6):379–389. DOI: 10.5435/JAAOS-D-14-00442.
  2. Khan KM, Brukner PD, Kearney C, et al. Tarsal navicular stress fracture in athletes. Sports Med 1994;17(1):65–76. DOI: 10.2165/00007256-199417010-00006.
  3. Golano P, Fariñas O, Sáenz I. The anatomy of the navicular and periarticular structures. Foot Ankle Clin 2004;9(1):1–23. DOI: 10.1016/S1083-7515(03)00155-4.
  4. McKeon KE, McCormick JJ, Johnson JE, et al. Intraosseous and extraosseous arterial anatomy of the adult navicular. Foot Ankle Int 2012;33(10):857–861. DOI: 10.3113/FAI.2012.0857.
  5. Shakked RJ, Walters EE, O'Malley MJ. Tarsal navicular stress fractures. Curr Rev Musculoskelet Med 2017;10(1):122–130. DOI: 10.1007/s12178-017-9392-9.
  6. Rosenbaum AJ, Uhl RL, DiPreta JA. Acute fractures of the tarsal navicular. Orthopedics 2014;37(8):541–546. DOI: 10.3928/01477447-20140728-07.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.

We use cookies on this site to enhance your user experience.

By clicking any link on this page you are giving your consent for us to set cookies.