Stress Fracture of the Navicular Bone in a Patient with Cerebral Palsy: A Case Report

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  • YOSHIKAWA Mari
    Department of Rehabilitation Medicine, Kitakyushu Rehabilitation Center for Children with Disabilities, Japan
  • NAKANISHI Yoshitaka
    Department of Orthopedics, Fukuoka Higashi Medical Center, Japan
  • KAWAMURA Yoshika
    Department of Orthopedics, Kitakyushu Rehabilitation Center for Children with Disabilities, Japan
  • MATSUO Keisuke
    Department of Orthopedics, Kitakyushu Rehabilitation Center for Children with Disabilities, Japan
  • SAEKI Mitsuru
    Department of Orthopedics, Kitakyushu Rehabilitation Center for Children with Disabilities, Japan
  • WADA Futoshi
    Department of Rehabilitation Medicine, School of Medicine, University of Occupational and Environmental Health, Japan

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Other Title
  • 足部舟状骨疲労骨折を認めた脳性麻痺の1例

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Abstract

A 14-year-old girl with cerebral palsy (spastic diplegia) underwent examination due to a chief complaint of right foot pain, and was diagnosed with a stress fracture of the central one third of the navicular bone. The fracture was considered to have developed due to repeated loading on the navicular bone as a result of an equinus gait.Therefore, she underwent osteosynthesis and Achilles tendon lengthening to correct the equinus deformity. Following our review of the current literature, we did not identify any reports of stress fracture of the navicular bone in cerebral palsy. We believe that in cases where cerebral palsy patients with paralytic equinus complain of foot pain, the possibility of stress fracture of the navicular bone should be considered.

Journal

  • Journal of UOEH

    Journal of UOEH 37 (1), 11-15, 2015

    The University of Occupational and Environmental Health, Japan

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