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Overview<br>Os tibiale There are three different types of accessory navicular refers to an . This extra bone found in the foot. An accessory bone cartilage, which is a turned into bone that , is not normally found in attached to the average humanposterior tibial tendon, but in most cases is not considered abnormal. This condition represents a secondary ossification center just medial (growth centerinside) of the navicular bone. It is present from birth. The accessory navicular bone is found on can affect the inside part insertion of the posterior tibial tendon. This tendon has a job of keeping your foot aligned and helping to maintain an arch. The accessory navicular can be associated with a normal foot posture and alignment, or sometime with a flat (pes planus) foot.<br><br><br><br>Causes<br>Most of An injury to the fibrous tissue connecting the time, this condition is asymptomatic and people may live their whole lives unaware that they even have this extra bonetwo bones can cause something similar to a fracture. The main reason injury allows movement to occur between the navicular and the accessory navicular bone becomes problematic and is when thought to be the cause of pain occurs. There The fibrous tissue is no need for intervention if there is no prone to poor healing and may continue to cause pain. The Because the posterior tibial tendon attaches to the accessory navicular bone is easily felt in the medial arch because , it forms a bony prominence there. Pain may occur if constantly pulls on the accessory bone is overly large causing this bump on , creating even more motion between the instep to rub against footwearfragments with each step.<br><br>Symptoms<br>What precipitates Possible symptoms of accessory navicular syndrome include redness or swelling in the area of the accessory navicular, and pain? It will usually be caused by rubbing that is present around the middle of the skate or other footwear against foot around the prominencearch. You?ll commonly see blisters Discomfort is most often present following periods of exercise or prolonged walking or a red irritated areastanding. Other symptoms to look for, especially when you?re treating an older child or adult, include an area The bone may be somewhat visible on the inside of pain along the posterior tibial tendon of foot above the arch and fatigue . Most symptoms of accessory navicular syndrome first appear in childhood around the legs. Typically, these patients are not able to participate in sports for a lengthy period of time or you?ll hear them complain of pain adolescence as the bones are still growing and/or soreness after extended activitiesdeveloping. Most individuals For some with a prominent an accessory navicular area will have tried accommodating this area with a doughnut pad or adjustments to their skate, though, symptoms may not appear until entering adulthood.<br><br>Diagnosis<br>To diagnose accessory navicular syndrome, medical staff ask about the patient?s activities and symptoms. They will examine the foot for irritation or swelling. Medical staff evaluate the bone structure, muscle, joint motion, and the patient?s gait. X-rays can usually confirm the diagnosis. MRI or other imaging tests may be used to determine any irritation or damage to soft-tissue structures such as tendons or ligaments. Because navicular accessory bone irritation can lead to bunions, [http://premiuminstinct8chicfinal26.soupsnack.io ws/hammer-toe-operation-complications.html heel spurs] and plantar fasciitis, it?s important to seek treatment.<br><br>Non Surgical Treatment<br>Most children?s The goal of non-surgical treatment for accessory navicular syndrome is to relieve the symptoms are improved . The following may be used. Placing the foot in a cast or resolved by taking removable walking boot allows the affected area to rest and decreases the inflammation. To reduce swelling, a bag of ice covered with a break from activities that irritate their feetthin towel is applied to the affected area. Do not put ice directly on the skin. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be prescribed. In some cases, oral or injected steroid medications may be used in combination with immobilization to reduce pain and inflammation. Shoe inserts that pad Physical therapy may be prescribed, including exercises and treatments to strengthen the accessory navicular area are muscles and decrease inflammation. The exercises may also helpfulhelp prevent recurrence of the symptoms. If your child?s symptoms do not improveCustom orthotic devices that fit into the shoe provide support for the arch, your physician and may recommend play a below-role in preventing future symptoms. Even after successful treatment, thesymptoms of accessory navicular syndrome sometimes reappear. When this happens, non-knee cast or walking boot. Surgery is rarely neededsurgical approaches are usually repeated.<br><br><br><br>Surgical Treatment<br>Surgical treatment of In the accessory navicular syndrome with simple excision has the advantages of less invasive to original Kidner procedure, the entire posterior tibial tenden tendon was released from the navicular and then rerouted through a drill hole placed through the medial longitudinal arch navicular. The original Kidner procedure is now rarely used as a means of the foottreating an isolated accessory navicular. Instead, shorter time a modification of immobilization the Kidner procedure has become more commonplace. The modified Kidner procedure consists of carefully removing the foot accessory and stay in hospital, small incision and good clinical results. This procedure is one anchoring the posterior tibial tendon to the surface of the best selective treatments for navicular where the accessory was removed. The repair may be done by passing a suture through the tendon and then through drill holes in the navicular syndrome, especially for the patients without flatfoot deformity and old sprain injuryor by using a suture anchor.