In this episode of The Sports Medicine Project, we explore navicular stress fractures—a high-risk injury requiring a unique approach due to the bone’s anatomy, biomechanics, and healing challenges.








We cover:




• ​Anatomy and biomechanics of the navicular.


• ​Risk factors: young athletes, biomechanics, and bone health.


• ​Delayed diagnosis and the role of imaging (CT vs. MRI).


• ​The debate over blood supply and its impact on healing.


• ​Management strategies: non-weight-bearing protocols, surgery vs. conservative care.


• ​Rehabilitation and return-to-sport considerations.










• ​PMID: 8775123


• ​PMID: 28110392


• ​PMID: 39348218


• ​PMID: 37489055


• ​PMID: 33512847




This episode is for educational purposes only and should not be taken as medical advice.













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00:00 Welcome to Season Two



04:31 Bilateral Insertional Achilles Tendinopathy



22:05 Better Subjective Questioning



28:27 Neck of Femur Stress Fracture



31:39 Understanding Navicular Stress Fractures



32:35 Introduction to Navicular Stress Fractures



35:06 Incidence of Navicular Stress Fractures



35:15 Who Gets Navicular Stress Fractures?



36:57 Time to Diagnosis of Navicular Stress Fractures



38:20 Anatomy of the Navicular



41:46 Biomechanics of the Navicular



45:18 Risk Factors for Navicular Stress Fractures



50:27 Foot Stiffness and Navicular Stress Fractures



55:28 Diagnostic Tests for Navicular Stress Fractures



01:00:11 Differential Diagnosis for Navicular Stress Fractures



01:01:24 Understanding Mid-Foot Pain and Injuries



01:02:57 Blood Supply to the Navicular



01:03:32 Do Naviculars Have Blood Flow?



01:06:25 Healing Variability and Factors Affecting Recovery



01:09:49 Imaging of Navicular Stress Fractures



01:14:00 Differential Diagnoses Not to Miss



01:14:55 Management Strategies for Navicular Stress Fractures



01:14:58 Müller-Weiss Syndrome



01:15:14 Management of Navicular Stress Fracture

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