Adolescent accessory navicular.
Accessory tarsal navicular is a common anomaly in the human foot. It should be in the differential of medial foot pain. A proper history and physical, along with imaging modalities, can lead to the diagnosis. Often, classification of the ossicle and amount of morbidity guide treatment. Nonsurgical measures can provide relief. A variety of surgical procedures have been used with good results. Our preferred method is excision for small ossicles and segmental fusion after removal of the synchondrosis for large ossicles. In addition, pes planovalgus deformities need to be addressed concomitantly.
Leonard
Zachary C
ZC
Department of Orthopaedics, William Beaumont Hospital, 3535 West Thirteen Mile Road, Medical Office Building Suite 744, Royal Oak, MI 48073, USA. zcleonard@gmail.com
Fortin
Paul T
PT
D000293:Adolescent; D005532:Foot Deformities, Congenital / Q000628:therapy; D006801:Humans; D010146:Pain / Q000209:etiology; D013639:Tarsal Bones / Q000002:abnormalities* / Q000033:anatomy & histology / Q000601:surgery