Surgical Intervention of a Nonunion Navicular Stress Fracture in a Collegiate Soccer Player: An Exploration Clinical CASE Report

in International Journal of Athletic Therapy and Training
Restricted access

Purchase article

USD  $24.95

Student 1 year subscription

USD  $74.00

1 year subscription

USD  $99.00

Student 2 year subscription

USD  $141.00

2 year subscription

USD  $188.00

The following case presents an 18-year-old male collegiate soccer player 11 months after initial injury, who was previously diagnosed with and treated for a navicular stress fracture. Unlike most patients who are treated conservatively, he presented with lingering symptoms that had not resolved after the standard course of treatment. After 11 months, the athlete then underwent further testing to reveal a navicular stress fracture with nonunion due to avascular necrosis. Open reduction internal fixation was performed 17 months after the initial injury to stabilize the midfoot. This case presents many unique components, including the presentation of the injury, the unsuccessful course of initial treatment, and the complications that arose from it.

DelBusso is with Utah State Athletics, Utah State University, Logan, UT. Matheny is with the Department of Exercise and Sport Sciences, Ithaca College, Ithaca, NY.

Address author correspondence to Michael Matheny at matheny@ithaca.edu.
  • 1.

    Torg JS, Moyer J, Gaughan JP, Boden BP. Management of tarsal navicular stress fractures: conservative versus surgical treatment: a meta-analysis. Am J Sports Med. 2010;38(5):1048–1053. doi:10.1177/0363546509355408

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 2.

    Gross CE, Nunley JA. Navicular stress fractures. Foot Ankle Int. 2015;36(9):1117–1122. PubMed ID: 26276132 doi:10.1177/1071100715600495

  • 3.

    Coris EE, Kaeding CC, Marymont JV. Tarsal navicular stress injuries in athletes. Orthopedics. 2003;26(7):733–737. PubMed ID: 12875574

  • 4.

    Hossain M, Clutton J, Ridgewell M, Lyons K, Perera A. Stress fractures of the foot. Clin Sports Med. 2015;34(4):769–790. PubMed ID: 26409595 doi:10.1016/j.csm.2015.06.011

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 5.

    Chen RC, Shia DS, Kamath GV, Thomas AB, Wright RW. Troublesome stress fractures of the foot and ankle. Sports Med Arthrosc Rev. 2006;14(4):246–251. PubMed ID: 17135975 doi:10.1097/01.jsa.0000212327.31183.54

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Jones MH, Amendola AS. Navicular stress fractures. Clin Sports Med. 2006;25(1):151–158. PubMed ID: 16324981 doi:10.1016/j.csm.2005.08.007

  • 7.

    Robinson M, Fulcher M. Delayed healing of a navicular stress fracture, following limited weight-bearing activity. BMJ Case Rep. 2014: pii: bcr2013203216. PubMed ID: 24618870 doi:10.1136/bcr-2013-203216

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 107 107 20
Full Text Views 29 29 8
PDF Downloads 8 8 2