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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  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.
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