2002 Volume 51 Issue 4 Pages 817-822
We experienced a rare case of a plantar fracture-dislocation of the tarsal navicular.
A 69-year-old man was treated with cast fixation for three weeks at another hospital without dislocation of the navicular being noticed. He visited our hospital two months after the injury. X-rays and MRI showed a plantar-dislocation and osteo-necrosis of the navicular. We performed an open reduction and fixation with Kirschner wires. Nine months after treatment, X-rays showed increased sclerotic change at the navicular, and arthropathy at the talo-navicular and cuneo-navicular joints. However, X-rays did not show collapse of the navicular after the operation, and he is making satisfactory progress.