Monteagudo Manuel, Martínez-de-Albornoz Pilar
Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirónsalud Madrid, Faculty Medicine UEM Madrid, Calle Diego de Velazquez 1, 28223 Pozuelo de Alarcón, Madrid, Spain.
Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirónsalud Madrid, Faculty Medicine UEM Madrid, Calle Diego de Velazquez 1, 28223 Pozuelo de Alarcón, Madrid, Spain.
Foot Ankle Clin. 2022 Jun;27(2):457-474. doi: 10.1016/j.fcl.2021.11.024. Epub 2022 May 5.
The tarsal navicular is an essential component of the Chopart joint and crucial for most of hindfoot motion. Most fractures are low-energy dorsal avulsions that may be treated nonoperatively. Displaced comminuted fractures require open reduction and internal fixation, sometimes with external fixation, bridge plating, and bone grafting. Diagnosis of stress fractures is commonly delayed. Conservative treatment is associated with good results, but surgery allows for quicker return-to-play in athletes. Nonunion in acute and stress fractures needs open debridement, grafting, and stable fixation. Müller-Weiss disease may present with a fragmented navicular and mimic an acute or a stress fracture.
距舟骨是Chopart关节的重要组成部分，对后足的大部分运动至关重要。大多数骨折为低能量的背侧撕脱伤，可采用非手术治疗。移位的粉碎性骨折需要切开复位内固定，有时还需要外固定、桥接钢板固定和植骨。应力性骨折的诊断通常会延迟。保守治疗效果良好，但手术可使运动员更快重返赛场。急性骨折和应力性骨折的骨不连需要切开清创、植骨和稳定固定。Müller-Weiss病可能表现为舟骨碎裂，类似急性骨折或应力性骨折。
