Navicular Fracture

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Patient Information

https://www.orthobullets.com/foot-and-ankle/7033/tarsal-navicular-fractures

GP Information

Background Information

  • Navicular fractures may be traumatic (plantar flexion / eversion / axial loading) or stress fractures due to chronic overuse.
  • Patients typically complain of midfoot pain and swelling.
  • Examination may reveal midfoot swelling, tenderness to direct palpation over the navicular, with retained full ROM.

Investigation Guidelines

  • Patients with suspected fractures should undergo imaging as part of a specialist assessment.

Management Recommendations

  • All patients with suspected acute navicular fractures should be referred immediately to A&E for imaging and further management.
  • Delayed traumatic presentations or suspected stress fractures should be referred to a local fracture clinic. Whilst awaiting a review the following conservative measures are recommended;
  • PRICE
  • NSAIDs
  • Crutches to off load the injured leg.