Navicular stress fractures in identical twin runners: high-risk fractures require structured treatment.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20086330.
- Also identified by DOI 10.3810/psm.2005.01.34.
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Abstract
Tarsal navicular fractures require an accurate and timely diagnosis to prevent costly and disabling complications. Diagnosis requires a thorough clinical evaluation that focuses on the patient's history, particularly his or her training regimen, and diet-as was the case with these 17-year-old girls. Plain radiography, ultrasound, bone scintigraphy, MRI, and CT help make a definitive diagnosis. Treatment of low-risk fractures involves relative rest and cessation of the precipitating activity. High-risk fractures often require non-weight-bearing immobilization, coupled with therapy, and may require surgery.