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


1. Towne LC, Blazina ME, Cozen LN. Fatigue fracture of the tarsal navicular. J Bone Joint Surg Am. 1970 Mar;52(2):376-8.
2. Coris EE, Lombardo JA. Tarsal navicular stress fractures. Am Fam Physician. 2003 Jan 1;67(1):85-90.
3. Khan KM, Brukner PD, Kearney C, Fuller PJ, Bradshaw CJ, Kiss ZS. Tarsal navicular stress fracture in athletes. Sports Med. 1994 Jan;17(1):65-76.
4. Brukner P, Bradshaw C, Khan KM, White S, Crossley K. Stress fractures: A review of 180 cases. Clin J Sport Med. 1996 Apr;6(2):85-9.
5. Burne SG, Mahoney CM, Forster BB, Koehle MS, Taunton JE, Khan KM. Tarsal navicular stress injury: Long-term outcome and clinicoradiological correlation using both computed tomography and magnetic resonance imaging. Am J Sports Med. 2005 Dec;33(12):1875-81.
6. Bennell KL, Malcolm SA, Thomas SA, Wark JD, Brukner PD. The incidence and distribution of stress fractures in competitive track and field athletes. A twelve-month prospective study. Am J Sports Med. 1996 Mar-Apr;24(2):211-7.
7. Torg JS, Moyer J, Gaughan JP, Boden BP. Management of tarsal navicular stress fractures: Conservative versus surgical treatment: A meta-analysis. Am J Sports Med. 2010 May;38(5):1048-53.
8. Mann JA, Pedowitz DI. Evaluation and treatment of navicular stress fractures, including nonunions, revision surgery, and persistent pain after treatment. Foot Ankle Clin. 2009 Jun;14(2):187-204.
9. Golano P, Farinas O, Saenz I. The anatomy of the navicular and periarticular structures. Foot Ankle Clin. 2004 Mar;9(1):1-23.
10. Jones MH, Amendola AS. Navicular stress fractures. Clin Sports Med. 2006 Jan;25(1):151,8, x-xi.
11. Torg JS, Pavlov H, Cooley LH, Bryant MH, Arnoczky SP, Bergfeld J, et al. Stress fractures of the tarsal navicular. A retrospective review of twenty-one cases. J Bone Joint Surg Am. 1982 Jun;64(5):700-12.
12. Khan KM, Fuller PJ, Brukner PD, Kearney C, Burry HC. Outcome of conservative and surgical management of navicular stress fracture in athletes. eighty-six cases proven with computerized tomography. Am J Sports Med. 1992 Nov-Dec;20(6):657-66.
13. Potter NJ, Brukner PD, Makdissi M, Crossley K, Kiss ZS, Bradshaw C. Navicular stress fractures: Outcomes of surgical and conservative management. Br J Sports Med. 2006 Aug;40(8):692,5; discussion 695.
14. Roper RB, Parks RM, Haas M. Fixation of a tarsal navicular stress fracture. A case report. J Am Podiatr Med Assoc. 1986 Sep;76(9):521-4.
15. Fitch KD, Blackwell JB, Gilmour WN. Operation for non-union of stress fracture of the tarsal navicular. J Bone Joint Surg Br. 1989 Jan;71(1):105-10.
16. Ostlie DK, Simons SM. Tarsal navicular stress fracture in a young athlete: Case report with clinical, radiologic, and pathophysiologic correlations. J Am Board Fam Pract. 2001 Sep-Oct;14(5):381-5.
17. Alfred RH, Belhobek G, Bergfeld JA. Stress fractures of the tarsal navicular. A case report. Am J Sports Med. 1992 Nov-Dec;20(6):766-8.
18. Murray SR, Reeder M, Ward T, Udermann BE. Navicular stress fractures in identical twin runners: High-risk fractures require structured treatment. Phys Sportsmed. 2005 Jan;33(1):28-33.
19. Goergen TG, Venn-Watson EA, Rossman DJ, Resnick D, Gerber KH. Tarsal navicular stress fractures in runners. AJR Am J Roentgenol. 1981 Jan;136(1):201-3.
20. Ariyoshi M, Nagata K, Kubo M, Sonoda K, Yamada Y, Akashi H, et al. MRI monitoring of tarsal navicular stress fracture healing--a case report. Kurume Med J. 1998;45(2):223-5.
21. Miller JW, Poulos PC. Fatigue stress fracture of the tarsal navicular. A case report. J Am Podiatr Med Assoc. 1985 Aug;75(8):437-9.
22. Ting A, King W, Yocum L, Antonelli D, Moynes D, Kerlan R, et al. Stress fractures of the tarsal navicular in long-distance runners. Clin Sports Med. 1988 Jan;7(1):89-101.
23. Dennis L, Lombardi CM. Stress fracture of the tarsal navicular: Two unusual case reports. J Foot Surg. 1988 Nov-Dec;27(6):511-4.
24. Helstad PE, Ringstrom JB, Erdmann BB, Jacobs PM, Julsrud ME. Bilateral stress fractures of the tarsal navicular with associated avascular necrosis in a pole vaulter. J Am Podiatr Med Assoc. 1996 Nov;86(11):551-4.

Add new comment