Journal of Korean Foot and Ankle Society (대한족부족관절학회지)

Korean Foot & Ankle Society (대한족부족관절학회)
권호 표지

Painful Accessory Navicular

동통성 부 주상골

  • Jung, Hong-Geun (Department of Orthopedic Surgery, Konkuk University School of Medicine) ;
  • Park, Jong-Tae (Department of Orthopedic Surgery, Konkuk University School of Medicine)
  • 정홍근 (건국대학교 의학전문대학원 정형외과학교실) ;
  • 박종태 (건국대학교 의학전문대학원 정형외과학교실)
  • Received : 2012.07.14
  • Accepted : 2012.08.21
  • Published : 2012.09.15
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Abstract

Accessory navicular is a congenital anomaly of the tuberosity of the navicular from a secondary ossification center. The accessory navicular is occasionally the source of pain and local tenderness over the medial side of midfoot. If conservative treatment fails for the painful accessory navicular, surgical treatment is required. There are several surgical option for accessory navicular, which vary from simple excision, percutaneous drilling, modified Kidner procedure and osteosynthesis of the accessory ossicle to the navicular body. In addition, symptomatic flatfoot deformity should be addressed concomitantly.

Keywords

References

  1. Coskun N, Yuksel M, Cevener M, et al. Incidence of accessory ossicles and sesamoid bones in the feet: a radiographic study of the Turkish subjects. Surg Radiol Anat. 2009;31:19-24. https://doi.org/10.1007/s00276-008-0383-9
  2. Ugolini PA, Raikin SM. The accessory navicular. Foot Ankle Clin. 2004;9:165-180. https://doi.org/10.1016/S1083-7515(03)00176-1
  3. Coughlin MJ. Sesamoids and accessory bones of the foot. In: Coughlin MJ, Mann RA, Saltzman CL, Surgery of the foot and ankle. 8th ed. Philadelphia: Mosby; 2007. 531-610.
  4. Grogan DP, Gasser SI, Ogden JA. The painful accessory navicular: a clinical and histopathological study. Foot Ankle. 1989;10:164-169. https://doi.org/10.1177/107110078901000310
  5. Kiter E, Gunal I, Turgut A, Kose N. Evaluation of simple excision in the treatment of symptomatic accessory navicular associated with flat feet. J Orthop Sci. 2000;5:333-335. https://doi.org/10.1007/s007760070039
  6. Dobbs MB, Walton T. Autosomal dominant transmission of accessory navicular. Iowa Orthop J. 2004;24:84-85.
  7. Mygind HB. The accessory tarsal scaphoid; clinical features and treatment. Acta Orthop Scand. 1953;23:142-151. https://doi.org/10.3109/17453675308991207
  8. Sella EJ, Lawson JP. Biomechanics of the accessory navicular synchondrosis. Foot Ankle. 1987;8:156-163. https://doi.org/10.1177/107110078700800310
  9. Lee KT, Kim KC, Park YU, Park SM, Lee YK, Deland JT. Midterm outcome of modified Kidner procedure. Foot Ankle Int. 2012;33:122-127. https://doi.org/10.3113/FAI.2012.0122
  10. Veitch JM. Evaluation of the Kidner procedure in treatment of symptomatic accessory tarsal scaphoid. Clin Orthop Relat Res. 1978;210-213.
  11. Malicky ES, Levine DS, Sangeorzan BJ. Modification of the Kidner procedure with fusion of the primary and accessory navicular bones. Foot Ankle Int. 1999;20:53-54. https://doi.org/10.1177/107110079902000112
  12. Chung JW, Chu IT. Outcome of fusion of a painful accessory navicular to the primary navicular. Foot Ankle Int. 2009;30:106-109. https://doi.org/10.3113/FAI.2009.0106
  13. Sella EJ, Lawson JP, Ogden JA. The accessory navicular synchondrosis. Clin Orthop Relat Res. 1986;280-285.
  14. Macnicol MF, Voutsinas S. Surgical treatment of the symptomatic accessory navicular. J Bone Joint Surg Br. 1984;66:218-226.
  15. Micheli LJ, Nielson JH, Ascani C, Matanky BK, Gerbino PG. Treatment of painful accessory navicular: a modification to simple excision. Foot Ankle Spec. 2008;1:214-217. https://doi.org/10.1177/1938640008321405
  16. Nakayama S, Sugimoto K, Takakura Y, Tanaka Y, Kasanami R. Percutaneous drilling of symptomatic accessory navicular in young athletes. Am J Sports Med. 2005;33:531-535. https://doi.org/10.1177/0363546504270564
  17. Leonard ZC, Fortin PT. Adolescent accessory navicular. Foot Ankle Clin. 2010;15:337-347. https://doi.org/10.1016/j.fcl.2010.02.004