Journal of Foot and Ankle Surgery (Asia Pacific)

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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.


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