Navicular fracture: Difference between revisions
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==Background== | ==Background== | ||
[[File:Foot_Bones.jpg|thumb|Bones of the foot.]] | |||
*Navicular, cuboid, and cuneiform fractures are all diagnosed/managed in similar way | *Navicular, cuboid, and cuneiform fractures are all diagnosed/managed in similar way | ||
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{{Foot and toe fractures DDX}} | {{Foot and toe fractures DDX}} | ||
== | ==Evaluation== | ||
[[File:NavicularFracMark.png|thumb|Fracture of the navicular bone on non-contrast CT of the foot.]] | |||
*Imaging: (weight-bearing AP, lateral, oblique) | *Imaging: (weight-bearing AP, lateral, oblique) | ||
**CT sometimes necessary | **CT sometimes necessary | ||
==Management== | ==Management== | ||
{{General Fracture Management}} | |||
===Immobilization=== | |||
*Non-weight bearing | *Non-weight bearing | ||
*[[Posterior Ankle Splint]] | *[[Posterior Ankle Splint]] | ||
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==References== | ==References== | ||
<references/> | |||
[[Category:Orthopedics]] | [[Category:Orthopedics]] | ||
Latest revision as of 20:58, 22 March 2023
Background
- Navicular, cuboid, and cuneiform fractures are all diagnosed/managed in similar way
Clinical Features
- Foot pain
Differential Diagnosis
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Evaluation
- Imaging: (weight-bearing AP, lateral, oblique)
- CT sometimes necessary
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Immobilization
- Non-weight bearing
- Posterior Ankle Splint
- Ortho referral
Disposition
- Outpatient