Navicular Fracture

(Tarsal Navicular Fracture)

Definition

A navicular fracture is a fracture of the navicular bone of the foot, a bone on the top of the midfoot. Athletes are particularly susceptible to fractures of the navicular bone. (There is also a navicular bone in the wrist.)
Navicular Bone of the Foot
si55550253 97870 1 Navicular Bone Foot
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Causes

A navicular fracture can be caused by a fall, severe twist, or direct trauma to the navicular bone. It can also be caused by repeated stress to the foot, creating a stress fracture unrelated to acute trauma.

Risk Factors

Factors that may increase your chance of a navicular fracture include:
  • Trauma
  • High-impact sports, such as track and field, gymnastics, tennis, or basketball
  • Being an adolescent
  • In women, abnormal or absent menstrual cycles
  • Military recruits
  • Osteoporosis or other bone conditions

Symptoms

Navicular fracture may cause:
  • Vague, aching pain in the top, middle portion of your foot, which may radiate along your arch
  • Increasing pain with activity
  • Pain on one foot only
  • Altered gait
  • Pain that resolves with rest
  • Swelling of the foot
  • Tenderness to touch on the inside aspect of the foot

Diagnosis

Your doctor will ask about your symptoms and medical history. A physical exam will be done, which will include a thorough examination of your foot.Imaging tests evaluate the foot and surrounding structures. These may include:

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