Al Hseinat Laith, Othman Ahmad, Altarawni Laith, Aolymate Moh'dkheir, Atoom Yousef
Department of Orthopaedics, Royal Medical Services, Amman 11855, Jordan.
Faculty of Medicine, Yarmouk University, Irbid 21163, Jordan.
Radiol Case Rep. 2025 Jun 11;20(9):4286-4292. doi: 10.1016/j.radcr.2025.05.048. eCollection 2025 Sep.
Navicular fractures, although rare, can cause significant midfoot pain and dysfunction. This case report discusses the presentation, diagnosis, and surgical management of an acute navicular fracture with dorsal talo-navicular dislocation in a 30-year-old male. The patient, with no significant medical history, sustained the injury after falling from a height of approximately 3 meters. Initial clinical examination revealed midfoot swelling, ecchymosis, and tenderness, with imaging confirming the fracture and dislocation. The patient underwent open reduction and internal fixation (ORIF) of the fracture. The surgical approach included the use of Schanz pins and a locking compression plate (LCP) for fixation. Postoperative management involved a period of immobilization, with gradual weight-bearing allowed at 8 weeks. The patient showed no signs of complications during follow-up and achieved a favorable recovery. This case highlights the importance of early diagnosis, prompt surgical intervention, and appropriate follow-up in preventing long-term complications such as nonunion and osteoarthritis.
舟骨骨折虽罕见，但可导致严重的中足疼痛和功能障碍。本病例报告讨论了一名30岁男性急性舟骨骨折伴距舟背侧脱位的临床表现、诊断及手术治疗。该患者无重大病史，从约3米高处坠落受伤。初始临床检查发现中足肿胀、瘀斑和压痛，影像学检查证实骨折和脱位。患者接受了骨折切开复位内固定术（ORIF）。手术方法包括使用斯氏针和锁定加压钢板（LCP）进行固定。术后处理包括一段时间的固定，8周时允许逐渐负重。随访期间患者未出现并发症迹象，恢复良好。本病例强调了早期诊断、及时手术干预及适当随访在预防骨不连和骨关节炎等长期并发症方面的重要性。
