# The Management of Navicular Dislocation and Multifocal Fractures Following a Fall

**Authors:** Rawaa J Khan, Abdulrahman J Khan, Haneen A Alhelali, Anas S Almoabbdi, Bushra Alshanqiti

PMC · DOI: 10.7759/cureus.64581 · Cureus · 2024-07-15

## TL;DR

This paper presents a case of successful treatment for a complex midfoot injury involving navicular dislocation and fractures following a fall.

## Contribution

The paper contributes a detailed case report on managing navicular dislocation and multifocal fractures with a structured clinical approach.

## Key findings

- A 27-year-old male with navicular dislocation and fractures was treated with closed reduction and internal fixation.
- Postoperative care included pain management, antibiotics, and thromboprophylaxis leading to a successful recovery.
- The case highlights the effectiveness of a structured management plan for complex midfoot injuries.

## Abstract

Midfoot injuries, encompassing navicular dislocations and fractures of the navicular bone, present unique challenges in trauma care. We report the case of a 27-year-old male who suffered a fall down a flight of stairs, resulting in navicular dislocation and multifocal fractures of the midfoot. The patient underwent a comprehensive management plan, including admission, closed reduction, and internal fixation with parallel K-wires. Radiological evaluations confirmed the extent of the injuries. Postoperatively, the patient received tailored care, incorporating pain management, antibiotics, and thromboprophylaxis. The successful outcome underscores the importance of a structured approach in addressing midfoot injuries, contributing to the existing literature on optimal management strategies. This case report serves as a valuable addition to the growing body of knowledge guiding clinicians in the effective treatment of navicular dislocations and navicular fractures.

## Full-text entities

- **Diseases:** pain (MESH:D010146), Fall (MESH:C537863), Navicular Dislocation (MESH:D055034), Fractures (MESH:D050723), Midfoot injuries (MESH:D014947), navicular fractures (MESH:C536002)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC11323876/full.md

## References

20 references — full list in the complete paper: https://tomesphere.com/paper/PMC11323876/full.md

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Source: https://tomesphere.com/paper/PMC11323876