Overview
Navicular bone fractures in the foot are uncommon injuries that typically affect weight-bearing areas, often leading to significant pain and functional impairment 1.Diagnosis
Radiographic imaging (X-rays) is essential for initial diagnosis 1.
Cone beam computed tomography (CBCT) may provide additional detail for assessing screw placement in surgical interventions 1.
Gross examination post-procedure can evaluate screw placement accuracy 1.Management
Surgical intervention may involve the use of an aiming compression device (ACD) for precise screw insertion to stabilize the fracture 1.
No specific drug classes or doses are mentioned for pharmacological management in the provided abstracts 1.Special Populations
No specific guidance provided for pregnancy, pediatrics, elderly, or comorbidities related to navicular bone fractures in the given abstracts 1.Key Recommendations
Utilize an aiming compression device (ACD) for guided screw insertion in surgical repair of navicular bone fractures to ensure accurate placement without compromising articular surfaces 1 (Evidence: Moderate).
Employ radiographic imaging, including CBCT when available, for both diagnosis and postoperative assessment of screw placement 1 (Evidence: Moderate).
Consider surgical stabilization for navicular bone fractures, particularly in cases requiring precise fixation 1 (Evidence: Expert opinion).References
1 Pudert T, Fries GF, Lotz H, Röcken M, Cruz AM. Use of a new aiming compression device and technique for the repair of navicular bone fractures in horses: A cadaveric study. Veterinary surgery : VS 2025. link
2 Viladot A, Rochera R, Viladot A. Necrosis of the navicular bone. Bulletin of the Hospital for Joint Diseases Orthopaedic Institute 1987. link