Key Insights For Treating Navicular Stress Fractures

By Marque Allen, DPM | 64,730 reads | 0 comments | 09/30/2008

Stress fractures of the tarsal navicular are an uncommon injury in the general population. However, people who engage in ballistic sporting events or recreational activities are at an increased risk of such an injury. The recognition of this injury seemed to parallel an increased fitness craze in the population over the last 30 years. Since Towne, et al., originally described tarsal navicular stress fractures in 1970, they have increased in prevalence secondary to our increased awareness of the injury and the emergence of faster and more powerful athletes.1

Keys To Treating Stress Fractures In The Endurance Athlete

John Mozena, DPM | 23,216 reads | 1 comments | 05/23/2012

Stress fractures represent 4 to 16 percent of running injuries.1 Fractures occur in 8 percent of the males and 13 percent of the females.1 The cause of stress fractures is repetitive and sub-maximal loading of the bone. The bone eventually fatigues and a stress fracture occurs. Prolonged stress can lead to a complete fracture. A regular fracture differs from a stress fracture in that no acute trauma has taken place.

A Closer Look At Fixation For Fifth Metatarsal Fractures

Lawrence Fallat, DPM, FACFAS, and Ruby Chahal, DPM | 72,757 reads | 0 comments | 08/28/2012

Fifth metatarsal fractures are the most common of all metatarsal fractures.1 Avulsion fractures, Jones fractures and proximal diaphyseal fractures occur most frequently, but diaphyseal, neck and head fractures also occur.2 Clinicians can treat most of these fractures conservatively if the fractures are not significantly displaced.

What You Should Know About Navicular Stress Fractures

John R. Fowler, MD, John P. Gaughan, PhD, Barry P. Boden, MD, and Joseph S. Torg, MD | 156,077 reads | 0 comments | 10/21/2010

Once considered a rare form of stress fractures, navicular stress fractures are being diagnosed in an increasing number of patients. Accordingly, these authors offer diagnostic insights, a pertinent case study and a thorough review of the literature.

A Novel Approach To Treating Lisfranc Fractures

Bradley P. Abicht, DPM, Elizabeth J. Plovanich, DPM, and Thomas S. Roukis, DPM, PhD, FACFAS | 44,446 reads | 0 comments | 12/21/2010

Given the potential for debilitating complications with Lisfranc fractures, the authors discuss the advantages of closed reduction with percutaneous screw fixation and offer a step-by-step guide to the procedure.

Key Insights On Managing Pediatric Fractures With Ex-Fix

Ron Raducanu DPM FACFAS | 3,507 reads | 0 comments | 04/19/2010

In my blog last month, I began a discussion on the use of external fixation in podopediatric surgery (see ). Probably the least complex use of external fixation in the pediatric population is for fracture management.  

Current Concepts In Treating Fifth Metatarsal Fractures

Jennifer Miklos, DPM, Alan Catanzariti, DPM, FACFAS, and Robert Mendicino, DPM, FACFAS | 143,736 reads | 0 comments | 04/21/2010

Given the intricacies of these fractures, these authors offer salient diagnostic pointers, a thorough review of the literature and pertinent pearls from their experience with the treatment of tuberosity fractures, Jones fractures and stress fractures of the fifth metatarsal.

Raising Questions About Article On Navicular Stress Fractures

hmpadmin | 5,078 reads | 1 comments | 02/24/2011

I am writing in regard to the feature article “Diagnosing and Treating Navicular Stress Fractures” (see page 52 in the November 2010 issue or see ).

How Mini-Rail Fixators Can Be Beneficial For Jones Fractures

William Fishco DPM FACFAS | 15,386 reads | 3 comments | 04/12/2011

A Jones fracture is a fracture of the metaphyseal-diaphyseal junction of the fifth metatarsal base. Fractures in this area are known to have difficulty healing due to the tenuous blood supply to this area.

To that end, one may treat these fractures with strict non-weightbearing for a minimum of six weeks or explore surgical options.

How To Treat Ankle Fractures In Patients With Diabetes

By Alan R. Catanzariti, DPM, Robert W. Mendicino, DPM, and Travis L. Sautter, DPM | 28,215 reads | 0 comments | 04/03/2006

Ankle fractures in patients with diabetes and documented neuropathy present a significant challenge to the clinician. The majority of literature has indicated that ankle fractures in this particular patient population are often difficult to manage and complication rates are reportedly quite high. These poor outcomes are similar for both conservative and surgical treatment. There are several factors implicated in the high complication rates one sees in the management of ankle fractures in patients with diabetic neuropathy. Many of these patients have significant osteopenia.