Tarsal navicular stress fractures
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Purpose of review
Navicular stress fractures are common in athletes and management is debated. This article will review the evaluation and management of navicular stress fractures.
Various operative and non-operative adjunctive treatment modalities are reviewed including the relevance of vitamin D levels, use of shock wave therapy and bone marrow aspirate concentrate (BMAC), and administration of teriparatide. Surgical treatment may be associated with earlier return to sports.
The author’s preferred treatment algorithm with corresponding images is presented which allows for safe and rapid return to activities in the athletic patient. Future research is needed in evaluating the preventative effects of vitamin D and use of other adjunctive treatments to increase the healing rates of this fracture.
KeywordsNavicular Stress fracture Vitamin D
Compliance with ethical standards
Conflict of interest
None of the authors has a financial or proprietary interest in the subject matter or materials discussed in the manuscript, including, but not limited to, employment, consultancies, stock ownership, honoraria, and paid expert testimony.
Human and animal rights and informed consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
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