Severe Talonavicular Osteoarthritis After a Neglected Navicular Stress Fracture: A Case Report. Issue 3 (July 2021)

• Record Type: Journal Article
• Authors: Morio, Hidenori; Sugimoto, Kazuya; Isomoto, Shinji; Nakamoto, Yusuke; Samoto, Norihiro; Tanaka, Yasuhito
• Is Part Of: JBJS case connector. Volume 11:Issue 3(2021)
• Publication Date: 2021-07
• Subjects: stress fracture -- tarsal navicular -- talonavicular joint -- osteoarthritis -- arthroplasty; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00442
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : 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.