Young Hwan Park; Hak Jun Kim; Soo Hyun Kim

doi:10.12671/jkfs.2016.29.4.276

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Fractures of the Tarsal Bone: Young Hwan Park, M.D., Hak Jun Kim, M.D., Soo Hyun Kim, M.D.; Journal of the Korean Fracture Society 2016;29(4):276-282.
DOI: https://doi.org/10.12671/jkfs.2016.29.4.276
Published online: October 20, 2016

Department of Orthopaedic Surgery, Korea University Guro Hospital, Seoul, Korea.

Address reprint requests to: Hak Jun Kim, M.D. Department of Orthopaedic Surgery, Korea University Guro Hospital, 148 Gurodong-ro, Guro-gu, Seoul 08308, Korea. Tel: 82-2-2626-3090·Fax: 82-2-2626-1164, dakjul@korea.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Abstract
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REFERENCES

Abstract

Fractures of the tarsal bone, such as the navicular, cuboid, and cuneiform, are very rare. These injuries can lead to serious walking difficulties due to pain and deformity of the foot with delayed diagnosis of tarsal bone fractures during an injury to multiple lower extremities. The diagnosis can be done on simple radiographs. Sometime weight bearing radiographs or stress radiographs may be needed for further evaluation. Computed tomography is the most widely available diagnostic tool. Navicular and cuneiform account for the medial column of the foot, whereas cuboid for the lateral column. The treatment of tarsal bone fractures is primarily conservative management, but operative treatment is recommended for intra-articular displacement, dislocation, or shortening of the medial or lateral column of the foot. The operative treatments include screw fixation, plate fixation, or external fixation. Complications include malunion, nonunion, posttraumatic arthritis, avascular necrosis, and deformity of the foot. Tarsal bone fracture has to be evaluated carefully to prevent serious complications.
Key words: Tarsal bone, Navicular, Cuboid, Cuneiform, Fracture

None.

REFERENCES

1. Tadros AM, Eid HO, Abu-Zidan FM. Epidemiology of foot injury in a high-income developing country. Injury, 2010;41:137-140.Article PubMed
2. Wei CJ, Tsai WC, Tiu CM, Wu HT, Chiou HJ, Chang CY. Systematic analysis of missed extremity fractures in emergency radiology. Acta Radiol, 2006;47:710-717.Article PubMed PDF
3. Yang GH, Park KC, Yoo GH, et al. Fractures and dislocations of the midfoot and forefoot. In: Yang GH, editor. Principles of fracture management. 1st ed. Seoul: Korean Fracture Society; 2013. p. 837-839.
4. Lau S, Bozin M, Thillainadesan T. Lisfranc fracture dislocation: a review of a commonly missed injury of the midfoot. Emerg Med J, 2016;[Epub].Article
5. Richter M, Wippermann B, Krettek C, Schratt HE, Hufner T, Therman H. Fractures and fracture dislocations of the midfoot: occurrence, causes and long-term results. Foot Ankle Int, 2001;22:392-398.Article PubMed PDF
6. Myerson MS, McGarvey WC, Henderson MR, Hakim J. Morbidity after crush injuries to the foot. J Orthop Trauma, 1994;8:343-349.Article PubMed
7. Thordarson DB. Detecting and treating common fractures of the foot and ankle part 2: the midfoot and forefoot. Phys Sportsmed, 1996;24:58-64.
8. Kadow TR, Siska PA, Evans AR, Sands SS, Tarkin IS. Staged treatment of high energy midfoot fracture dislocations. Foot Ankle Int, 2014;35:1287-1291.Article PubMed PDF
9. DiGiovanni CW. Fractures of the navicular. Foot Ankle Clin, 2004;9:25-63.Article PubMed
10. Sangeorzan BJ, Benirschke SK, Mosca V, Mayo KA, Hansen ST Jr. Displaced intra-articular fractures of the tarsal navicular. J Bone Joint Surg Am, 1989;71:1504-1510.Article PubMed
11. Torg JS, Moyer J, Gaughan JP, Boden BP. Management of tarsal navicular stress fractures: conservative versus surgical treatment: a meta-analysis. Am J Sports Med, 2010;38:1048-1053.Article PubMed PDF
12. Rosenbaum AJ, Uhl RL, DiPreta JA. Acute fractures of the tarsal navicular. Orthopedics, 2014;37:541-546.Article PubMed
13. Simon JP, Van Delm I, Fabry G. Fracture dislocation of the tarsal navicular. Acta Orthop Belg, 1993;59:222-224.PubMed
14. Andersen RC, Neiderer K, Martin B, Dancho J. Open reduction-internal fixation of a navicular body fracture with dorsal displacement of the first and second cuneiforms: a case report. J Am Podiatr Med Assoc, 2013;103:246-249.Article PubMed PDF
15. Kim BS, Cho SD, Cho YS, Park TW, So CS. Isolated fracture dislocation of the tarsal navicular: case report. J Korean Soc Fract, 1997;10:925-928.Article
16. Chu IT, Yoo KH. Isolated dislocation of Tarsal Navicular bone: a case report. J Korean Soc Fract, 1997;10:86-90.Article
17. Grivas TB, Vasiliadis ED, Koufopoulos G, Polyzois VD, Polyzois DG. Midfoot fractures. Clin Podiatr Med Surg, 2006;23:323-341.Article PubMed
18. Cheng Y, Yang H, Sun Z, Ni L, Zhang H. A rare midfoot injury pattern: navicular-cuneiform and calcaneal-cuboid fracture-dislocation. J Int Med Res, 2012;40:824-831.Article PubMed PDF
19. Hunter JC, Sangeorzan BJ. A nutcracker fracture: cuboid fracture with an associated avulsion fracture of the tarsal navicular. AJR Am J Roentgenol, 1996;166:888. Article PubMed
20. Macciocchi B. Etiology of tarsal cuboid bone fractures. Minerva Chir, 1949;4:620-622.PubMed
21. Sangeorzan BJ, Swiontkowski MF. Displaced fractures of the cuboid. J Bone Joint Surg Br, 1990;72:376-378.Article PubMed PDF
22. Borrelli J Jr, De S, VanPelt M. Fracture of the cuboid. J Am Acad Orthop Surg, 2012;20:472-477.Article PubMed
23. Newell SG, Woodle A. Cuboid syndrome. Phys Sportsmed, 1981;9:71-76.Article
24. Patterson SM. Cuboid syndrome: a review of the literature. J Sports Sci Med, 2006;5:597-606.
25. Patterson RH, Petersen D, Cunningham R. Isolated fracture of the medial cuneiform. J Orthop Trauma, 1993;7:94-95.Article PubMed
26. Miersch D, Wild M, Jungbluth P, Betsch M, Windolf J, Hakimi M. A transcuneiform fracture-dislocation of the midfoot. Foot (Edinb), 2011;21:45-47.Article PubMed
27. Lee BH, Shin DM. Treatment of fracture - dislocation of Tarsometatarsal joint. J Korean Soc Fract, 1995;8:606-614.Article
28. Ahn SH, Kim HC, Kim KY, Yoon HJ, Kim IY. Avulsion fracture of medial cuneiform by Tibialis anterior tendon (a case report). J Korean Foot Ankle Soc, 2010;14:194-196.
29. Chung HJ, Park JG, Kam MC. Diagnosis and treatment of occult Lisfranc injury. J Korean Foot Ankle Soc, 2013;17:34-39.
30. Khatri Chhetri KM, Acharya P, Rokaya Chhetri DR. Combined fracture dislocation of the navicular bone along with cuboid, cuneiform and longitudinal split fracture of the lateral malleolus: a rare combination of fractures. Chin J Traumatol, 2014;17:358-360.PubMed

Fig. 1

Simple radiograph revealed the accessory navicular bone (white arrows).

Fig. 2

Sangeorzan's classification of navicular fracture. Type I: Dorsal or tuberosity Avulsion fracture, the primary fracture line traverse in the coronal plane, which is seen on a lateral radiograph. Type II: Navicular body fracture, in which the fracture line is traverse from dorsolateral to plantarmedial across the body, which is seen on an anteroposterior radiograph. Type III: Navicular body fracture with central or lateral comminution.

Fig. 3

(A) Type II navicular fracture and medial cuneiform subluxation were seen on an oblique radiograph. (B) Navicular fracture fragment and medial cuneiform were reduced and fixed with plate and screws.

Fig. 4

(A) Nutcracker fracture of cuboid was seen on an anteroposterior radiograph. (B) Bridging plate fixation was performed from the calcaneus to the fifth metatarsal bone to restore the length of the lateral column.

Fig. 5

Medial cuneiform fracture with Lisfranc injury was seen on simple radiograph and computed tomography.

Fig. 6

Fracture of the medial cuneiform and Lisfranc joint were reduced and fixated with plate and screws.

Figure & Data

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Fractures of the Tarsal Bone

J Korean Fract Soc. 2016;29(4):276-282. Published online October 31, 2016

DOI: https://doi.org/10.12671/jkfs.2016.29.4.276

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Fractures of the Tarsal Bone

Fig. 1 Simple radiograph revealed the accessory navicular bone (white arrows).

Fig. 2 Sangeorzan's classification of navicular fracture. Type I: Dorsal or tuberosity Avulsion fracture, the primary fracture line traverse in the coronal plane, which is seen on a lateral radiograph. Type II: Navicular body fracture, in which the fracture line is traverse from dorsolateral to plantarmedial across the body, which is seen on an anteroposterior radiograph. Type III: Navicular body fracture with central or lateral comminution.

Fig. 3 (A) Type II navicular fracture and medial cuneiform subluxation were seen on an oblique radiograph. (B) Navicular fracture fragment and medial cuneiform were reduced and fixed with plate and screws.

Fig. 4 (A) Nutcracker fracture of cuboid was seen on an anteroposterior radiograph. (B) Bridging plate fixation was performed from the calcaneus to the fifth metatarsal bone to restore the length of the lateral column.

Fig. 5 Medial cuneiform fracture with Lisfranc injury was seen on simple radiograph and computed tomography.

Fig. 6 Fracture of the medial cuneiform and Lisfranc joint were reduced and fixated with plate and screws.