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

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

Sports Medicine Project