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The middle third of the bone lacks blood vessel penetration and it bears the majority of the load applied to the tarsal bones during weight bearing. Its vascular and biomechanical properties make it susceptible to injury. This may partly explain a higher risk of stress fractures and osteonecrosis in this location.
Aside from surgery, there are a few options for handling an accessory navicular bone that has become symptomatic. This includes immobilization, icing, medicating, physical therapy, and orthotic devices. Immobilizing involves placing the foot and ankle in a cast or removable walking boot. This alleviates stressors on the foot and can decrease ...
[2] [3] Dr. A. Köhler noted that children with foot pain displayed characteristics, within their x-rays, of irregularity in growth and development of the tarsal navicular bone in the foot. Furthermore, Köhler disease is known to affect five times more boys than girls and typically, only one foot is affected.
The first mechanism is a stress fracture which happens commonly in athletes, [7] and the other mechanism is a high energy trauma. The navicular bone is a keystone of the foot: it is part of the coxa pedis and articulates with the talus, first, second and third cuneiform, cuboid and calcaneus.
Stress fractures most frequently occur in weight-bearing bones of the lower extremities, such as the tibia and fibula (bones of the lower leg), calcaneus (heel bone), metatarsal and navicular bones (bones of the foot). Less common are stress fractures to the femur, pelvis, sacrum, lumbar spine (lower back), hips, hands, and writs. Stress ...
A Lisfranc injury, also known as Lisfranc fracture, is an injury of the foot in which one or more of the metatarsal bones are displaced from the tarsus. [1] [2]The injury is named after Jacques Lisfranc de St. Martin, a French surgeon and gynecologist who noticed this fracture pattern amongst cavalrymen in 1815, after the War of the Sixth Coalition.
Physical therapy; However, while conservative treatments are often effect, resistant cases may require more invasive treatments such as: [1] [3] [4] [9] Corticosteroid injections into the tarsal canal; Oral steroids; Custom orthoses; Cryotherapy; These forms of treatment, while being invasive and expensive, are known to be very effective.
Tarsal coalition is an abnormal connecting bridge of tissue between two normally-separate tarsal (foot) bones, and is considered a sort of birth defect. The term 'coalition' means a coming together of two or more entities to merge into one mass (in the case of bones, see synostosis ). [ 1 ]