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Trauma
intermediate
X-Type

Navicular Stress Fracture

Foot Trauma

A 22-year-old elite sprinter presents with 6 weeks of insidious-onset dorsal midfoot pain that worsens with running and improves with rest. She has recently increased her training intensity. Examination reveals point tenderness over the dorsal navicular (N-spot) and pain with hopping on the affected foot. Initial radiographs are normal. MRI shows bone marrow edema within the navicular with a partial fracture line. Regarding navicular stress fractures:

Mark each as TRUE or FALSE

A

Navicular stress fractures are high-risk stress fractures occurring predominantly in athletes involv...

B

Clinical presentation includes insidious onset of vague dorsal midfoot pain, often with delayed diag...

C

Navicular stress fractures are low-risk injuries that heal easily; they occur in the lateral third; ...

D

MRI is the gold standard for diagnosis, showing bone marrow edema and fracture line; CT demonstrates...

E

Surgical fixation with percutaneous screw fixation is indicated for complete fractures (Type III), d...

Answer the questions to see explanations

Click T (True) or F (False) for each option