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- W1867243722 abstract "To compare the long term outcomes of the two treatment options for navicular stress fractures: non-weightbearing cast immobilisation and surgical fixation.Retrospective case study.Subjects aged 18 years and older who had been treated for a navicular stress fracture more than two years previously.Questionnaire based analogue pain score and function score; tenderness on palpation; abnormality detected on computed tomography (CT).In all, 32 fractures in 26 subjects were investigated. No significant differences were found between surgical and conservative management for current pain (p = 0.984), current function (p = 0.170), or abnormality on CT (p = 0.173). However, surgically treated patients more often remained tender over the N spot (p = 0.005), even after returning to competition for two years or more.Surgical fixation of navicular stress fractures appears to be as effective as conservative management over the longer term. However, there remains a small but measurable degree of pain and loss of function over this period. The value of using N spot tenderness as the sole clinical predictor of treatment success requires further investigation, as some patients remained tender despite successful completion of treatment and return to competition." @default.
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- W1867243722 date "2006-04-12" @default.
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- W1867243722 title "Navicular stress fractures: outcomes of surgical and conservative management * Commentary" @default.
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- W1867243722 doi "https://doi.org/10.1136/bjsm.2005.022079" @default.
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