Best Practice Case Studies-Navicular Stress Fractures

Pdf Summary

The tarsal navicular bone, located on the inside of the foot along the arch, supports the foot's arch but is susceptible to injuries such as fractures due to activities like running and jumping. These fractures often result from overuse, inadequate recovery, or areas of the bone with decreased blood flow, which hampers healing. Early symptoms include vague pain on the foot's middle or top, mild swelling or bruising, and tenderness with pressure on the navicular bone. Pain typically starts after intense activities and can progress to constant pain, even at rest.<br /><br />Risk factors for developing this stress fracture include increased sports intensity, poor nutrition, low bone density, changes in equipment, and atypical foot structures. Diagnosis often involves medical imaging like MRI or CT scans, which are more effective than X-rays for detecting these fractures' early signs.<br /><br />Treatment varies depending on injury severity and location. Initial management involves immobilization using a cast and non-weight bearing for around six weeks, followed by a gradual return to activities if pain resolves. Persistent pain may require an extended immobilization period, and surgery can be necessary for fractures that fail to heal adequately due to poor blood supply.<br /><br />Preventative measures for stress fractures include proper nutrition, adequate calcium and vitamin D intake, and gradual training increases no more than 10-15% per week. Properly fitting equipment and appropriate playing surfaces are also crucial.<br /><br />The American Medical Society for Sports Medicine (AMSSM) emphasizes the importance of medical oversight in managing these injuries, noting that return to play can range from several weeks to months. Their organization supports the education, research, and care of athletes facing such injuries.

Meta Tag

Edition 2nd Edition

Related Case 2nd Edition, CASE 12

Topic Foot and Ankle

Keywords

2nd Edition, CASE 12

2nd Edition

Foot and Ankle

tarsal navicular bone

foot arch support

stress fractures

overuse injuries

medical imaging

sports intensity

bone density

immobilization

nutrition

AMSSM