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Osteochondritis Dissecans of the Tarsal Navicular Bone

A Case Report

Frank Timo Beil Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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Juergen Bruns Center of Musculoskeletal Surgery, Diaconical Clinics Hamburg, Hospital Alten Eichen, Hamburg, Germany.

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Christian R. Habermann Department of Diagnostic and Interventional Radiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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Wolfgang Rüther Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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Andreas Niemeier Department of Biochemistry and Molecular Biology II: Molecular Cell Biology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

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Osteochondritis dissecans most often affects the convex articular surfaces of the knee, the elbow, and the ankle joints; other sites of manifestation are very rare. Here we report a case of osteochondritis dissecans of the talonavicular joint affecting the concave part of the tarsal navicular bone in a 22-year-old woman, which was successfully treated by surgery, leading to complete recovery. Early diagnosis and surgery in stages of undamaged cartilage may help to prevent disease progression and the development of disabling osteoarthritis in the physiologically heavily loaded talo-navicular joint. (J Am Podiatr Med Assoc 102(4): 338-342, 2012)

Corresponding author: Andreas C. Niemeier, MD, Department of Orthopaedics, University Medical Center Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. (E-mail: niemeier@uke.uni-hamburg.de)