The Relationship of the Accessory Navicular to the Development of the Flat Foot

Sullivan, Justin; Miller, William A.

doi:10.1097/00003086-197910000-00040

Cited by 36 publications

(42 citation statements)

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“…5,11,12 The majority of symptoms are because of traumatic or arthritic changes of the synchondrosis of type II accessory navicular bone. 4,5,11 These symptoms are usually treated nonoperatively with rest, administration of anti-inflammatory agents, a shoe insert and/or fitting, and occasionally, cast immobilization.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Drilling of Symptomatic Accessory Navicular in Young Athletes

Nakayama¹,

Sugimoto

Takakura

et al. 2005

Am J Sports Med

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Section: Discussionmentioning

confidence: 99%

Percutaneous Drilling of Symptomatic Accessory Navicular in Young Athletes

Nakayama¹,

Sugimoto

Takakura

et al. 2005

Am J Sports Med

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“…The current literature supports several surgical treatment options for symptomatic accessory navicular:34567891011) simple excision; excision and relocation of the tibialis posterior (TP) tendon (the Kidner procedure); percutaneous drilling; and fusion of the accessory navicular to the body of the navicular. The results of these surgical treatments are debatable.…”

mentioning

confidence: 95%

Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon

Choi

Lee

2017

Clin Orthop Surg

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BackgroundThe results of operative treatments for symptomatic accessory navicular are debatable. In some cases, recurrent pain may develop after the Kidner procedure. The purpose of this study is to review the reasons for recurrent pain after the Kidner procedure and to suggest possible options for revision surgery.MethodsWe reviewed the clinical and radiological outcomes in 9 patients who underwent revision surgery for recurrent pain after the Kidner procedure. During the revision surgery, the tibialis posterior tendon was reattached to the navicular either by advancing the tendon in 4 patients or by lengthening the tendon in another 4 patients. In the other 1 patient, the flexor digitorum longus tendon was transferred. Surgeries for the accompanying deformities were performed simultaneously in all patients. The results were evaluated using the American Orthopaedic Foot and Ankle Society ankle-hindfoot score and a visual analog scale. The mean follow-up was 2.3 years (range, 1 to 5 years).ResultsThe mean American Orthopedic Foot and Ankle Society ankle-hindfoot score improved from 71.25 to 81.50 in the advancement group, and 71.75 to 90.00 in the lengthening group. The mean visual analog scale improved from 7.75 to 4.25 in the advancement group and from 7.50 to 1.75 in the lengthening group.ConclusionsRecurrent pain after the Kidner procedure was associated with pes planovalgus or hindfoot valgus deformity. In revision surgery, correction of the associated deformities and reattachment of the tibialis posterior tendon after lengthening may need to be considered.

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“…Sullivan and Miller performed a radiographic study and concluded that no evidence supported the opinion that an abnormal insertion of the TPT into the accessory navicular reduces the normal suspension of the foot 8) . On the other hand, it is well known that dysfunction of the TPT, from tenosynovitis to complete rupture, might result in severe flatfoot 9,10) .…”

Section: Introductionmentioning

confidence: 99%

Comparison of Towel-gathering Exercise and Toe Exercises for the Painful Accessory Navicular

Shiroshita

Fukubayashi

2011

J Phys Ther Sci

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Abstract.[Purpose] The towel gathering exercise is commonly chosen in the treatment of painful accessory navicular. However, the effect has not been well documented in clinical settings. So we compared the reduction in pain effect of towel gathering exercise with those of three toe flexor exercises we developed. [Subjects and Methods] Fifteen accessory navicular cases (4 males, 11 females) were chosen as subjects. Their mean age was 20.3±10.7 years old. The three exercises were almost maximal isometric contraction of first toe flexor, 2nd-to-5th toe flexors and 3rd-to-5th toe flexors. All subjects randomly performed the three toe exercises and the towel gathering exercise. Before and after each exercise we assessed the pain by provocative tests such as stepping and others using a visual analog scale (100 mm).[Results] The exercises of 2nd-to-5th toe flexors and 3rd-to-5th toe flexors showed overtly significant improvement of pain. On the other hand, the effects of both the towel gathering and first toe exercises were less significant. Especially, the towel gathering exercise showed the poorest effect of pain relief.

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The Relationship of the Accessory Navicular to the Development of the Flat Foot

Cited by 36 publications

References 0 publications

Percutaneous Drilling of Symptomatic Accessory Navicular in Young Athletes

Percutaneous Drilling of Symptomatic Accessory Navicular in Young Athletes

Revision Surgery for Recurrent Pain after Excision of the Accessory Navicular and Relocation of the Tibialis Posterior Tendon

Comparison of Towel-gathering Exercise and Toe Exercises for the Painful Accessory Navicular

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