Navicular Stress Fracture
April 22nd, 2010 | 
Occasionally you can hear about a top level athlete in the news getting surgery for a tarsal navicular stress fracture. Unless you are at that elite level, it assumed that the avenue of surgical management may not be open. A recent systematic review published in the American Journal of Sports Medicine compared outcome between conservatively managed () and surgical management. They found no differences, and in fact, there was a non-statistically significant trend towards the conservative care being better.
There conclusion was:
Non-weight bearing conservative management should be considered the standard of care for tarsal navicular stress fractures. The authors could find no advantage for surgical treatment compared with NWB immobilization.
Most cases will be managed with 6 weeks non0weighbearing in a cast.
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Posted in Sports Injury
