Stress fractures of the tarsal navicular bone. Causality, diagnosis, therapy, prophylaxis

Stress fractures of the tarsal navicular bone are a challenge in diagnosis and therapy. First and foremost you have to think about this fracture. The origin of the injury can be detected in a wrong or too heavy strain of the bone especially in long distance runners and recruits. The MRI is the diagn...

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Bibliographic Details
Published in:Der Orthopäde 2003-12, Vol.32 (12), p.1159
Main Authors: Ivanic, G M, Juranitsch, T, Myerson, M S, Trnka, H J
Format: Article
Language:ger
Subjects:
Bone Screws
Bone Transplantation
Casts, Surgical
Fracture Fixation - instrumentation
Fracture Fixation - methods
Fractures, Comminuted - surgery
Fractures, Stress - diagnosis
Fractures, Stress - diagnostic imaging
Fractures, Stress - etiology
Fractures, Stress - prevention & control
Fractures, Stress - surgery
Fractures, Stress - therapy
Humans
Magnetic Resonance Imaging
Pseudarthrosis - surgery
Running - injuries
Shoes
Sports
Tarsal Bones - diagnostic imaging
Tarsal Bones - injuries
Time Factors
Titanium
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Stress fractures of the tarsal navicular bone are a challenge in diagnosis and therapy. First and foremost you have to think about this fracture. The origin of the injury can be detected in a wrong or too heavy strain of the bone especially in long distance runners and recruits. The MRI is the diagnostic tool of first choice. Therapy of displaced or comminuted fractures as well as pseudarthrosis is best done with surgical procedures like direct screw fixation or interposition of autologous bone depending on the circumstances and the age of injury. Conservative treatment with a plaster of Paris is useful in non-displaced and non-comminuted fractures. Prophylaxis with technical aids and a changing habits is recommended.
ISSN:0085-4530