SynthesisKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2026
Navicular fractures in elite athletes-2025 International Foot and Ankle Sports Consensus and systematic review.
Synthesis in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Editorial commentary: Anatomical insights, diagnostic challenges and evolving treatment strategies for midfoot sporting injuries in elite athletes.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeNavicular injuries are a significant concern in athletics, often leading to prolonged recovery periods and risks of further complications. Navicular stress fractures, in particular, have gained recognition as common injuries among athletes, especially in high-impact sports. The management of navicular injuries remains controversial, lacking standardised treatment protocols. The purpose of the present systematic review and consensus process was to provide up-to-date recommendations on workup and diagnosis, operative and nonoperative treatments, and the return-to-sport (RTS) for elite athletes with navicular fractures.
methodsA consensus process was conducted using a modified Delphi technique with two rounds of questionnaires. 'General consensus' was defined as 75%-85% agreement, 'strong consensus' as 86%-99% agreement, and 'unanimous consensus' as 100% agreement. In addition, a systematic review was conducted evaluating the workup, treatment and postoperative management of Navicular injuries in athletes.
resultsThirty-four consensus statements were established regarding the diagnosis, management and RTS following navicular fractures in elite athletes; 10 achieved unanimous consensus, 21 reached strong consensus and 2 did not reach consensus. Across 319 athletes identified in the systematic review, those treated surgically returned to sport at a mean of 8.2 weeks postoperatively, with 98.7% resuming competition. The panel reached a strong consensus that athletes should remain nonweightbearing for 4-6 weeks following surgery and may expect to return to full sport within 4-6 months, supported by corresponding timelines in the literature.
conclusionAthletes sustaining navicular fractures can typically expect a functional recovery, with most returning to play within 4-6 months after surgery. The consensus recommendations provide the first standardised, evidence-based framework for postoperative progression, including a 4-6 week nonweightbearing phase and structured rehabilitation milestones. These findings guide clinicians in optimising recovery and RTS outcomes in elite athletes. LEVEL OF EVIDENCE: Level V.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.