![]() ![]() ![]() ![]() In the presented case, the patient's CT was interpreted by two musculoskeletal radiologists as a comminuted navicular fracture with areas of central impaction the os supranaviculare and navicular OCD were not recognised. Another potential challenge is that of misidentifying the combination of a stress fracture, accessory ossicle, and osteochondral lesion as a comminuted fracture. An os supranaviculare will be found in its typical position on the proximal dorsal cortex of the navicular bone with well-corticated edges, while a fracture fragment will have more irregular edges and possible history of trauma. It can be difficult to distinguish an os supranaviculare from a fracture fragment of the talus or navicular bone. This case highlights a potential diagnostic challenge in orthopaedic sports medicine. A timeline of the patient's course is available in Table 1. After screw placement, the patient exhibited full passive dorsiflexion with clearance of the talus by the navicular bone and fixation was deemed satisfactory ( Fig. 3, Fig. 4). This was possibly contributing to talonavicular impingement with increased forces on the dorsal aspect of the navicular bone, so a dorsal talus exostectomy was included. Intra-operatively, a small osteophyte on the dorsal aspect of the talus was identified. Surgical fixation involved the insertion of 2.0-mm and 3.5-mm screws fixating the major fragments. The patient underwent open reduction internal fixation (ORIF) with autograft bone harvest from the ipsilateral calcaneus, debridement and curettage of the OCD with application of minced allograft cartilage (BioCartilage Arthrex, Naples, FL), and the addition of a bone stimulator. Pre-operatively, the athlete was diagnosed with a linear NSF, navicular OCD, and os supranaviculare. Given the patient's strong desire to return to sport safely, he and his parents chose to proceed with surgical management. The podiatrist ordered a computed tomography (CT) scan, and he referred the patient to an orthopaedic foot and ankle surgeon. Initial radiographs indicated the presence of an os supranaviculare, loss of the sharp cortical line of the navicular bone where it articulates with the talus, and sclerosis of the navicular bone ( Fig. 1). After one year of intermittent pain with physical activity, the patient presented to an outside podiatry clinic for evaluation. He had not tried any therapeutic interventions. Walking and running exacerbated his symptoms, and the pain was relieved with rest. Training hours increased to approximately 16 h per week when high school sport seasons overlapped with competitive lacrosse, which was the case for ten months per year. His competitive lacrosse involvement averaged 10 h of training per week at baseline. In addition to high school lacrosse, he played lacrosse on a competitive travelling club team with intense training and high competition year-round. He participated in two field sports for his high school team: football and lacrosse. KeywordsĪ healthy adolescent male experienced an insidious onset of right foot pain during sports with no inciting event or direct trauma to the foot. Understanding navicular stress fractures and concomitant bony pathology contributing to injury is crucial to successful diagnosis, management, and prevention of recurrence. While repetitive loading on the navicular bone can independently produce a stress fracture, the patient had an increased risk for this injury the presumably pre-existing navicular osteochondral lesion and os supranaviculare may have resulted in decreased effective articular surface area, thereby increasing force on the navicular bone and producing a stress fracture. Diagnosis of a navicular stress fracture in the setting of both an os supranaviculare and osteochondral lesion of the navicular bone have not been reported elsewhere in the literature. The patient underwent successful operative fixation and returned to painless full function with imaging demonstrating healing at six months. Radiographs and computed tomography demonstrated a triad of a navicular stress fracture, an os supranaviculare, and an osteochondral defect of the navicular bone. This case details the injury and outcome of an adolescent male athlete who experienced one year of intermittent foot pain without acute trauma. Stress fractures of the tarsal navicular bone can be problematic in the athlete. ![]()
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![]() ![]() 【Blue/Pink LED Backlight】Black/Transparent mechanical gaming keyboard with blue and pink LED light to choose from.Not only for gamers, but also for designers and video creators. The settings are stored in the main unit, so you don't have to worry about resetting the keyboard every time you change the computer. 4 types of settings can be stored, so you can use them according to the situation. 【4-Layer Configuration】The contents of the program are stored in the built-in MCU (small CPU).For example, you can set it and press it on the specific key to "ctrl + a 0.5s ctrl+c 0.5s ctrl+v"to operate this operation. 【24 Macro Keys】12 normal macro keys and 12 macro keys with delay function The macro function also supports up to 792 key commands.It simplifies creative and complex editing tasks such as video and publishing,and greatly increases your work efficiency.Office software shortcuts such as Word/Excel,CAD,Adobe Ae/Pr/Ps software shortcuts and games quick tricks and programming. ![]() Customize to fit your environment Besides the normal 104 keys, you can set 8 web navigation buttons, 8 multimedia shortcuts, keyboard locks, windows lock, etc
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The book covers events that take place between The Heroes of Olympus and The Trials of Apollo. Percy Jackson and the Chalice of the Gods Ī standalone novel, Percy Jackson and the Chalice of the Gods, was announced in October 2022, with a release date of September 26, 2023. The Sun and the Star was released on May 2, 2023. The title of the novel, The Sun and the Star, was revealed on September 23, 2022. On October 6, 2021, it was announced that Riordan would write a novel in collaboration with Mark Oshiro focused on Nico di Angelo and Will Solace, set after The Tower of Nero. Apollo must also defeat his nemesis Python, who has been controlling Apollo's source of prophetic prowess in the caves of Delphi, and regain his immortality. It features Apollo, Meg, Rachel Elizabeth Dare, Nico di Angelo, and his boyfriend and Apollo's son Will Solace as they fight to prevent Emperor Nero from burning New York City. The Tower of Nero is the fifth and final book in The Trials of Apollo series. The goddess Diana, the Roman form of Apollo's twin sister, also made an appearance. It features Apollo, Meg, Hazel Levesque, Reyna Ramirez-Arellano, and new hero Lavinia Asimov as they race to free the god Harpocrates and save Camp Jupiter from King Tarquin, Emperors Commodus and Caligula, and their respective armies. The Tyrant's Tomb is the fourth book in The Trials of Apollo series. They also stop Caligula’s plan to make himself the sun god with Apollo’s and Helios’s essence. It features Apollo, Meg, Grover, Piper McLean, and Jason Grace as they go to free the Oracle of Erythraea who has been imprisoned by Emperor Caligula. The Burning Maze is the third book in The Trials of Apollo series. Novel series Percy Jackson & the Olympians Three short stories have been published which join The Kane Chronicles and the Camp Half-Blood Chronicles Camp Half-Blood characters have also appeared in both the Magnus and Kane books. The franchise takes place in the same fictional universe as two of Riordan's other series, The Kane Chronicles (which centers on Egyptian mythology) and Magnus Chase and the Gods of Asgard (set in the world of Norse mythology). The third series, The Trials of Apollo, follows the now-mortal god Apollo, with appearances by many characters from the first and second series. The second series, The Heroes of Olympus, introduces several more lead characters and a second camp for Roman demigods named Camp Jupiter. The first series, Percy Jackson & the Olympians, follows the adventures of a teen named Percy Jackson at a summer camp for Greek demigods. Set in the modern world, it focuses on groups of demigod teenagers, and features many characters from Greek and Roman mythology. The Lighting Thief: The Percy Jackson Musical (original cast recording)Ĭamp Half-Blood Chronicles is a media franchise created by author Rick Riordan, encompassing three five-part novel series, two short-story collections, two myth anthology books, a stand-alone short story, three crossover short stories, an essay collection, multiple guides, seven graphic novels, two films, a video game, a musical, and other media. Percy Jackson: Sea of Monsters soundtrack Percy Jackson & the Olympians: The Lightning Thief soundtrack ![]() ![]() Percy Jackson & the Olympians: The Lightning Thief The Battle of the Labyrinth graphic novel Percy Jackson and the Chalice of the Gods.For the fantasy novel series written by Andre Norton and Mercedes Lackey, see The Halfblood Chronicles. ![]() ![]() ![]() Still, the plot has been criticized as incomprehensible to viewers who did not play Final Fantasy VII and a thin connection between action scenes. Critics have praised its animation and CGI work. 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