Case Report

Navicular stress fracture

R. V.P. de Villiers
South African Journal of Radiology | Vol 7, No 3 | a1395 | DOI: | © 2018 R. V.P. de Villiers | This work is licensed under CC Attribution 4.0
Submitted: 10 July 2018 | Published: 31 August 2003

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R. V.P. de Villiers, Department of Radiology, Tygerberg Academic Hospital and University of Stellenbosch, South Africa

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The diagnosis of a navicular fracture is difficult and often delayed due to a nonspecific clinical presentation and subtle imaging findings. Initial radiographs are often negative. Historically isotope bone scans were recommended, but now CT and MR imaging are suggested due to the higher specificity. Imaging of both feet allows internal comparison and may also detect an asymptomatic or unsuspected contralateral fracture. CT is a reliable indicator of fracture healing. The imaging evidence of fracture healing usually lags behind the clinical picture.


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