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The Journal of the American Board of Family Practice, Vol 14, Issue 5 381-385, Copyright © 2001 by American Board of Family Practice

ARTICLES

Tarsal navicular stress fracture in a young athlete: case report with clinical, radiologic, and pathophysiologic correlations

D. K. Ostlie and S. M. Simons
MeritCare Sports Medicine (DKO), Fargo, ND, USA.

BACKGROUND: Tarsal navicular fractures are uncommon but important causes of foot pain. Being alert to this condition can help prevent a delay in the diagnosis. METHODS: A literature search of MEDLINE was undertaken, and a case report of an adolescent with tarsal navicular stress fracture is described. RESULTS AND CONCLUSIONS: Tarsal navicular fractures are often misdiagnosed for months. Because plain radiographs are unreliable, the diagnosis of tarsal navicular fractures requires the use of bone scan, fine-cut computed tomographic scans, or magnetic resonance imaging. Treatment requires strict non-weight-bearing activities to avoid complications. When the alert primary care physician can diagnose this condition, treatment of tarsal navicular fractures can be effective and rewarding.


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