Navicular fracture

Case contributed by Dr Henry Knipe

Presentation

Fall from bike. Unable to weightbear.

Patient Data

Age: 25
Gender: Male
Modality: X-ray

Longitudinal fracture through the navicular, which is mildly distracted but not displaced. Incidental note of lytic lesion in the calcaneum with faint central calcification. 

Case Discussion

Navicular body fractures are considered the most serious of all navicular fractures due its role in the medial plantar arch, axial load bearing via the talonavicular joint, and numerous ligamentous attachments. Typically requires a high-energy mechanism. 

CT (not shown) confirmed the lytic lesion as a lipoma. 

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Case Information

rID: 31710
Case created: 23rd Oct 2014
Last edited: 3rd Jul 2016
Inclusion in quiz mode: Included

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