Navicular and fifth metatarsal base stress fractures: An illustrated anatomical review

IF 5.5 2区医学 Q1 ORTHOPEDICS

Knee Surgery, Sports Traumatology, Arthroscopy Pub Date : 2026-08-24 Epub Date: 2026-05-22 DOI:10.1002/ksa.70413

Xiuqi Liu, Choon Chiet Hong, Francisco Reina, Anna Carrera, Enric Alcolea-Madera, Jorge Javier Del Vecchio, Miki Dalmau-Pastor

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引用次数: 0

Abstract

The navicular bone and the proximal fifth metatarsal (M5) play a vital role in maintaining the structural integrity and biomechanical stability of the foot's medial and lateral columns, respectively. Both bones' unique anatomical configuration, intricate mechanical environment and limited vascular supply make specific locations particularly vulnerable to stress fractures. Moreover, the combination of mechanical loading patterns and restricted perfusion in the navicular and proximal M5 further contributes to delayed healing, nonunion and refracture. Therefore, finding suitable treatment options for the different damage patterns involving both bones is critical for reducing complications and improving clinical results. This paper aims to clarify the anatomical and biomechanical features underlying these fractures to improve diagnosis, prevention, and clinical management in high-risk populations.

Level of Evidence

N/A.

查看原文本刊更多论文

舟状骨和第五跖骨基底应力性骨折：解剖学回顾。

舟骨和近端第五跖骨（M5）分别在维持足内侧柱和外侧柱的结构完整性和生物力学稳定性方面起着至关重要的作用。这两种骨骼独特的解剖结构、复杂的机械环境和有限的血管供应使得特定部位特别容易发生应力性骨折。此外，机械负荷模式和舟骨及M5近端受限灌注的结合进一步导致愈合延迟、骨不连和再骨折。因此，针对涉及双骨的不同损伤模式寻找合适的治疗方案对于减少并发症和改善临床结果至关重要。本文旨在阐明这些骨折的解剖学和生物力学特征，以提高高危人群的诊断、预防和临床管理。证据级别：无。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Knee Surgery, Sports Traumatology, Arthroscopy 医学-外科

CiteScore

8.10

自引率

18.40%

发文量

418

审稿时长

2 months

期刊介绍： Few other areas of orthopedic surgery and traumatology have undergone such a dramatic evolution in the last 10 years as knee surgery, arthroscopy and sports traumatology. Ranked among the top 33% of journals in both Orthopedics and Sports Sciences, the goal of this European journal is to publish papers about innovative knee surgery, sports trauma surgery and arthroscopy. Each issue features a series of peer-reviewed articles that deal with diagnosis and management and with basic research. Each issue also contains at least one review article about an important clinical problem. Case presentations or short notes about technical innovations are also accepted for publication. The articles cover all aspects of knee surgery and all types of sports trauma; in addition, epidemiology, diagnosis, treatment and prevention, and all types of arthroscopy (not only the knee but also the shoulder, elbow, wrist, hip, ankle, etc.) are addressed. Articles on new diagnostic techniques such as MRI and ultrasound and high-quality articles about the biomechanics of joints, muscles and tendons are included. Although this is largely a clinical journal, it is also open to basic research with clinical relevance. Because the journal is supported by a distinguished European Editorial Board, assisted by an international Advisory Board, you can be assured that the journal maintains the highest standards. Official Clinical Journal of the European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA).