Outcome of Fusion of a Painful Accessory Navicular to the Primary Navicular

2009 ◽  
Vol 30 (02) ◽  
pp. 106-109 ◽  
Author(s):  
Jin-Wa Chung ◽  
In-Tak Chu
Keyword(s):  
Accessory Navicular

Osteonecrosis of the accessory navicular bone

2001 ◽  
Vol 121 (9) ◽  
pp. 546-547 ◽  
Author(s):  
I˙. Günal ◽  
K. Yörüko˘glu
Keyword(s):  
Navicular Bone ◽  
Accessory Navicular

scholarly journals Symptomatic accessory navicular bone: A case report

2019 ◽  
Vol 5 (4) ◽  
pp. 806-808
Author(s):  
Alioune Badara Gueye ◽  
Mouhamadou Niane ◽  
Charles Valérie Alain Kinkpé ◽  
Abdoulaye Ndoye Diop ◽  
Mohamed Daffé ◽  
...  
Keyword(s):  
Case Report ◽  
Navicular Bone ◽  
Accessory Navicular

scholarly journals Accessory navicular

2010 ◽  
Author(s):  
Mostafa El-Feky ◽  
The Radswiki
Keyword(s):  
Accessory Navicular

Accessory navicular bone excision

2016 ◽  
pp. 69-69
Author(s):  
Kalpesh Vaghela ◽  
Massimo Marconetto ◽  
Marco Marcarelli
Keyword(s):  
Navicular Bone ◽  
Accessory Navicular

scholarly journals Suture anchor stabilization of symptomatic accessory navicular in adolescents: Clinical and radiographic outcomes

2020 ◽  
Vol 28 (2) ◽  
pp. 230949902091894
Author(s):  
Masataka Kakihana ◽  
Yuki Tochigi ◽  
Takayuki Yamazaki ◽  
Masanori Ohashi ◽  
Satoru Ozeki
Keyword(s):  
Tilt Angle ◽  
Suture Anchor ◽  
Weight Bearing ◽  
Bone Union ◽  
First Metatarsal ◽  
Radiographic Outcomes ◽  
Metatarsal Angle ◽  
Radiographic Measurements ◽  
Accessory Navicular ◽  
Stabilization Technique

Background: Screw fixation used in modified Kidner procedures to treat persistent symptomatic accessory navicular in adult cases is often challenging in adolescent cases with a small accessory fragment. The present study aimed to document the clinical effect of a suture anchor stabilization technique applicable to such cases where osteosynthesis is considered an ideal outcome. Methods: Consecutive clinical cases who received this surgical treatment from 2009 to 2016 were retrospectively reviewed. The focus of interest included radiographic union of the accessory bone, changes in symptoms evaluated using a validated clinical outcome scale introduced by the Japanese Society for Surgery of the Foot, and changes in the medial arch bony alignment measured in lateral weight-bearing plain radiographs. Results: Twenty-two feet in 15 individuals (11 females and 4 males, age at surgery 10–16 years) were identified. In 14 feet (64%), radiographic bone union was confirmed within 8 weeks postoperatively. At the final follow-up ranging 12–51 months postoperation, the clinical scores have significantly improved ( p < 0.001) to 96 ± 5.71 (mean ± standard deviation, range 87–100), from 54 preoperatively. Radiographic measurements revealed significant postoperative increase of the sagittal talar tilt angle ( p < 0.001, increment 4 ± 3°, range 0–11) and the talo-first metatarsal angle ( p < 0.001, increment 5 ± 4°, range 0–12). No significant changes were identified in the calcaneal pitch angle, first metatarsal tilt angle, calcaneo-navicular angle, and the navicular height. Conclusion: Despite the modest bone union rate, the clinical outcomes suggest distinct symptom-relieving effect, at least in the short- to midterm, while the radiographic measurements suggest positive biomechanical effects. The present suture-anchor stabilization concept appears to be a promising treatment option for persistent symptomatic accessory navicular in adolescent cases.

scholarly journals Accessory navicular syndrome as a cause of foot pain during stroke rehabilitation

2018 ◽  
Vol 48 (1) ◽  
pp. 159-161
Author(s):  
Patrick Mulkerrin ◽  
Ray McLoughlin ◽  
Shaun T O’Keeffe
Keyword(s):  
Stroke Rehabilitation ◽  
Foot Pain ◽  
Accessory Navicular ◽  
Navicular Syndrome

scholarly journals Comparison of outcomes of osteosynthesis in type II accessory navicular by variable fixation methods

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0037
Author(s):  
Hyun-woo Park ◽  
Ho-seong Jang ◽  
Jae Wan Suh ◽  
Sunghyun Kim
Keyword(s):  
Visual Analog Scale ◽  
Tension Band ◽  
Tension Band Wiring ◽  
Social Activities ◽  
Type Ii ◽  
Analog Scale ◽  
Fixation Methods ◽  
Scale Scores ◽  
Accessory Navicular ◽  
Screw Group

Category: Midfoot/Forefoot Introduction/Purpose: To compare the outcomes of fixation methods for osteosynthesis of a type II symptomatic accessory navicular between screw and tension band wiring. Methods: Forty-four patients (mean age, 29.2 years; range, 13–54 years; 21 males and 23 females) who had undergone operative treatment after failed conservative treatment were chosen for the study between 2007 and 2014. The patients were divided into two groups by the method of osteosynthesis: group 1 (screw) and group 2 (tension band wiring). Pre and postoperative evaluations were performed, using the midfoot scale from the American Orthopaedic Foot & Ankle Society (AOFAS), a visual analog scale, time to return to social activities, and plain radiography. Results: The AOFAS midfoot and visual analog scale scores of both groups were improved at the last postoperative follow-up. The time to return to social activities was 12.3 weeks in the screw group and 11.9 weeks in the tension band wiring group (p = 0.394). A broken screw was observed in one case in the screw group and a broken k-wire was detected in two cases in the tension band wiring group. Nonunion was observed in two cases in each group. Conclusion: The tension band wiring technique could be another treatment choice of osteosynthesis for fixation of the accessory navicular bone.

Effect of Unilateral Accessory Navicular Bone on Radiologic Parameters of Foot

2020 ◽  
pp. 107110072096482
Author(s):  
Mustafa Kara ◽  
Serkan Bayram
Keyword(s):  
Navicular Bone ◽  
Level Of Evidence ◽  
First Metatarsal ◽  
Metatarsal Angle ◽  
Asymptomatic Patients ◽  
Accessory Navicular ◽  
The Mean ◽  
Group 2 ◽  
Group 1

Background: This study aimed to compare the radiologic parameters of both feet in patients with unilateral accessory navicular bone (ANB) and evaluate the differences from one another. Methods: Forty-one patients with unilateral ANB volunteered to participate in this study from August 2019 to January 2020. Patient data, including age, sex, body mass index (BMI), type of ANB, and presence of symptoms were obtained. Group 1 comprised 23 patients with asymptomatic unilateral ANB, and group 2 comprised 18 patients with symptomatic unilateral ANB. Seven radiologic parameters were evaluated assessing hindfoot, midfoot, and forefoot alignment—calcaneal pitch angle, talocalcaneal angle, tibiocalcaneal angle, naviculocuboid overlap (NCO), talonavicular coverage angle (TNCA), anteroposterior talo–first metatarsal angle, and lateral talo–first metatarsal angle. Results: The mean age of patients was 40.1 years in group 1 and 42.6 years in group 2. Mean BMI was 25.2 in group 1 and 26.6 in group 2. No significant differences were noted in the radiologic parameters between the ANB and contralateral sides in all patients. The radiologic parameters of both feet in symptomatic and asymptomatic patients were not significantly different. No significant differences were noted between the affected sides of type 1 and 2 ANB and contralateral sides in terms of the radiologic parameters. BMI was significantly correlated with NCO and TNCA. Conclusion: This study demonstrated that the presence of an accessory navicular bone did not affect radiologic parameters of the foot. Radiologic parameters of both feet in symptomatic patients were not significantly different. Level of Evidence: Level III, diagnostic, comparative study.

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