Complete spontaneous avascular necrosis of the adult navicula associated with Mee’s growth arrest lines of the great and second toenails

Publication date: Available online 13 November 2013 Source: Foot and Ankle Surgery Author(s): Dishan Singh , Andrea Ferrerro Spontaneous total avascular necrosis of the tarsal navicula has, been well documented in children (Kohler’s disease) but is uncommon in, adults where partial necrosis is usually seen after trauma or in Müller-, Weiss disease. A case of spontaneous complete navicular osteonecrosis in, a 46 year old female is described; she had accompanying Mee’s, leuchonychial lines in the toenails of the great and second toes only;, the lines resolved after 9 months. She has been treated with an excision, of the navicula and interpositional iliac crest bone graft talo-cuneiform, fusion with resolution of her pain

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Complete spontaneous avascular necrosis of the adult navicula associated with Mee’s growth arrest lines of the great and second toenails

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