Severe Talonavicular Osteoarthritis After a Neglected Navicular Stress Fracture
| Autor: | Norihiro Samoto, Kazuya Sugimoto, Yasuhito Tanaka, Yusuke Nakamoto, Hidenori Morio, Shinji Isomoto |
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| Rok vydání: | 2021 |
| Předmět: |
musculoskeletal diseases
Orthodontics Adolescent Fractures Stress medicine.diagnostic_test business.industry Navicular fracture Radiography Computed tomography Tarsal Bones Osteoarthritis medicine.disease Tarsal Joints Talonavicular joint medicine Fracture (geology) Humans Orthopedics and Sports Medicine Surgery Cyst Foot Injuries business Fracture reduction |
| Zdroj: | JBJS Case Connector. 11 |
| ISSN: | 2160-3251 |
| DOI: | 10.2106/jbjs.cc.20.00442 |
| Popis: | Case A 17-year-old high school rugby player complained of right midfoot pain for 18 months. Radiographs showed severe osteoarthritic changes in the right talonavicular joint. A navicular fracture, talonavicular joint narrowing, a talar head cyst, and proximal navicular fragmentation were detected on computed tomography (CT). The patient underwent removal of the osteochondral fragments and fracture reduction and returned to rugby 8 months postoperatively. CT showed a remodeling of the talonavicular joint 2 years postoperatively. Conclusion In a young athlete, reconstruction of the talonavicular joint should be attempted before joint fusion, even if the joint shows signs of secondary osteoarthritis. |
| Databáze: | OpenAIRE |
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