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Foot Case 5 Diagnosis

Navicular Fracture


Diagnosis depends on the fracture type:

  • Dorsal avulsion fractures are usually easily diagnosed on lateral radiographs of the foot.
  • Tuberosity fractures can be more difficult to diagnose; most have minimal or no displacement and are not apparent on standard foot films. In patients with bony pain below the medial malleolus, order a reverse oblique view in addition to standard views to better visualize the navicular tuberosity.
  • Body fractures are usually diagnosed on standard foot films. CT may be necessary for fracture definition and operative planning.
  • Stress fractures are typically not apparent on x-ray and require bone scan or MRI (usually as outpatient) for diagnosis.