Navicular Fracture after 3 months.

Patient is a 27 y/o male who complains of foot pain that started approximately 3 months ago. Patient states that he injured his foot during vigorous running exercises and was treated for an ankle sprain. Radiographs were taken and show that a dorsal lip fracture of the right navicular is present. Dorsal lip fractures of the navicular are the most common type and represent roughly 47% of all navicular bone fractures.

Interesting observation during the clinical examination is the pes planus foot type exhibited by the injured limb. It is possible that the posterior tendon was compromised and surgical correction may be needed.

The patient is scheduled for a possible T-N fusion and follow up radiographs will be posted in the near future.

Case: 1st MPJ Implant Failure

Patient is a 69 year old African American female with complaints of a painful swollen toe. Patient stated that a few months prior she had been prescribed allopurinol and colchicine by her PCP for treatment of gout but the pain was still persisting. Upon taking radiographs of the affected foot we discovered an implant located within the proximal phalanx of the right hallux. Patient stated that she had foot surgery about 10-15 years ago for reasons she could not remember.







Patient was taken to surgery and the implant was removed. The joint was cleaned up, the void in the proximal phalanx was filled using Osteosponge, and a single K-Wire was then used to fixate.