Sports Medicine Project

Navicular Stress Fractures - the Donald Trump of Foot Bones #109


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In this episode of The Sports Medicine Project, we explore navicular stress fractures—a high-risk injury requiring a unique approach due to the bone’s anatomy, biomechanics, and healing challenges.


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We cover:

  • ​Anatomy and biomechanics of the navicular.
  • ​Risk factors: young athletes, biomechanics, and bone health.
  • ​Delayed diagnosis and the role of imaging (CT vs. MRI).
  • ​The debate over blood supply and its impact on healing.
  • ​Management strategies: non-weight-bearing protocols, surgery vs. conservative care.
  • ​Rehabilitation and return-to-sport considerations.

    • ​PMID: 8775123
    • ​PMID: 28110392
    • ​PMID: 39348218
    • ​PMID: 37489055
    • ​PMID: 33512847
    • This episode is for educational purposes only and should not be taken as medical advice.



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      00:00 Welcome to Season Two

      04:31 Bilateral Insertional Achilles Tendinopathy

      22:05 Better Subjective Questioning

      28:27 Neck of Femur Stress Fracture

      31:39 Understanding Navicular Stress Fractures

      32:35 Introduction to Navicular Stress Fractures

      35:06 Incidence of Navicular Stress Fractures

      35:15 Who Gets Navicular Stress Fractures?

      36:57 Time to Diagnosis of Navicular Stress Fractures

      38:20 Anatomy of the Navicular

      41:46 Biomechanics of the Navicular

      45:18 Risk Factors for Navicular Stress Fractures

      50:27 Foot Stiffness and Navicular Stress Fractures

      55:28 Diagnostic Tests for Navicular Stress Fractures

      01:00:11 Differential Diagnosis for Navicular Stress Fractures

      01:01:24 Understanding Mid-Foot Pain and Injuries

      01:02:57 Blood Supply to the Navicular

      01:03:32 Do Naviculars Have Blood Flow?

      01:06:25 Healing Variability and Factors Affecting Recovery

      01:09:49 Imaging of Navicular Stress Fractures

      01:14:00 Differential Diagnoses Not to Miss

      01:14:55 Management Strategies for Navicular Stress Fractures

      01:14:58 Müller-Weiss Syndrome

      01:15:14 Management of Navicular Stress Fracture


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      Sports Medicine ProjectBy Blake Withers and Kelly Kortick

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