Navicular fracture

Background

Bones of the foot.

• Navicular, cuboid, and cuneiform fractures are all diagnosed/managed in similar way

Clinical Features

• Foot pain

Differential Diagnosis

Foot and Toe Fracture Types

Hindfoot

• Talus fracture
• Calcaneus fracture

Midfoot

• Lisfranc injury
• Navicular fracture
• Cuboid fracture
• Cuneiform fracture

Forefoot

• Fifth metatarsal fracture
• Non-fifth metatarsal fracture
• Toe fracture

Evaluation

Fracture of the navicular bone on non-contrast CT of the foot.

• Imaging: (weight-bearing AP, lateral, oblique)
  • CT sometimes necessary

Management

General Fracture Management

• Acute pain management
• Open fractures require immediate IV antibiotics and urgent surgical washout
• Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
• Consider risk for compartment syndrome

Immobilization

• Non-weight bearing
• Posterior Ankle Splint
• Ortho referral

Disposition

• Outpatient

See Also

• Foot Fractures
• Foot Diagnoses (Main)