title: Fractures of the body of the tarsal navicular bone: case reports and literature review.
abstract: Four patients sustaining tarsal navicular body fractures are presented. Analysis based on these cases and on 36 patients suffering from identical fractures reported in the literature led to a new mechanical assumption: the axial compression on the foot, as a result of falling from height, causes impaction of the talus into the body of the navicular bone. The clinical followup results reported are usually disappointing. Favorable results are obtained in a vertical two-part fracture, by an open reduction and internal fixation of the tarsal navicular body fracture. In highly comminuted fractures, talo-navicular-cuneiform arthrodesis can be carried out.
authors.affiliation: Department of Orthopedic Surgery, Soroka Medical Center, Beer Sheba, Israel.
authors.forename: M
authors.initials: M
authors.lastname: Nyska
authors.forename: J Y
authors.initials: JY
authors.lastname: Margulies
authors.forename: M
authors.initials: M
authors.lastname: Barbarawi
authors.forename: W
authors.initials: W
authors.lastname: Mutchler
authors.forename: S
authors.initials: S
authors.lastname: Dekel
authors.forename: D
authors.initials: D
authors.lastname: Segal
mesh_terms: D000293:Adolescent; D000328:Adult; D005592:Fracture Fixation; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy; D006801:Humans; D008297:Male; D011859:Radiography; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries*