{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:10Z","timestamp":1787755150945,"version":"build-2784847793"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 17-year-old high school rugby player complained of right midfoot pain for 18 months. Radiographs showed severe osteoarthritic changes in the right talonavicular joint. A navicular fracture, talonavicular joint narrowing, a talar head cyst, and proximal navicular fragmentation were detected on computed tomography (CT). The patient underwent removal of the osteochondral fragments and fracture reduction and returned to rugby 8 months postoperatively. CT showed a remodeling of the talonavicular joint 2 years postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In a young athlete, reconstruction of the talonavicular joint should be attempted before joint fusion, even if the joint shows signs of secondary osteoarthritis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00442","type":"journal-article","created":{"date-parts":[[2021,7,8]],"date-time":"2021-07-08T15:00:16Z","timestamp":1625756416000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Severe Talonavicular Osteoarthritis After a Neglected Navicular Stress 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Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5349-2000","authenticated-orcid":false,"given":"Yusuke","family":"Nakamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nara Prefecture General Hospital, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4726-0400","authenticated-orcid":false,"given":"Norihiro","family":"Samoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nara Prefecture General Hospital, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2300-611X","authenticated-orcid":false,"given":"Yasuhito","family":"Tanaka","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Nara Medical University, School of Medicine, Nara, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"2","key":"bib1-20240805","doi-asserted-by":"crossref","first-page":"376","DOI":"10.2106\/00004623-197052020-00023","article-title":"Fatigue fracture of the navicular","volume":"52","author":"Towne","year":"1970","journal-title":"J Bone Joint Surg Am."},{"issue":"11","key":"bib2-20240805","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1177\/107110070602701109","article-title":"Navicular stress fractures: a prospective study on athletes","volume":"27","author":"Saxena","year":"2006","journal-title":"Foot Ankle Int."},{"issue":"5","key":"bib3-20240805","doi-asserted-by":"crossref","first-page":"1048","DOI":"10.1177\/0363546509355408","article-title":"Management of tarsal navicular stress fractures conservative versus surgical treatment: a meta-analysis","volume":"38","author":"Torg","year":"2010","journal-title":"Am J Sports 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