title: Surgical treatment of symptomatic accessory tarsal navicular.
abstract: We report a retrospective review of 50 consecutive patients (75 feet) with chronically symptomatic accessory tarsal naviculars that failed to improve with conservative treatment. Surgical treatment consisted of excision of the accessory tarsal navicular or medial protuberance of a prominent cornuate-shaped navicular combined with simple replication of the tibialis posterior tendon without altering its course. Good and excellent results were obtained in 45 (70 feet) of the 50 patients (90%). The procedure has a low rate of minor complications, is easy to perform, and is extremely well accepted by the patients.
authors.affiliation: Department of Orthopaedic Surgery, Children's Hospital Medical Center, Akron, OH 44308.
authors.forename: G L
authors.initials: GL
authors.lastname: Bennett
authors.forename: D S
authors.initials: DS
authors.lastname: Weiner
authors.forename: B
authors.initials: B
authors.lastname: Leighley
mesh_terms: D000293:Adolescent; D001696:Biomechanical Phenomena; D002648:Child; D003258:Consumer Behavior; D005260:Female; D005532:Foot Deformities, Congenital / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D008297:Male; D010027:Osteotomy / Q000379:methods / Q000523:psychology / Q000592:standards*; D011403:Pronation; D011859:Radiography; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013639:Tarsal Bones / Q000002:abnormalities*; D013709:Tendon Transfer / Q000379:methods / Q000592:standards