Accessory Navicular Bone

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Original Editors - Carlos De Coster

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Search Strategy[edit | edit source]

PubMed (http://www.ncbi.nlm.nih.gov/pubmed)
MeSH terms:
• Complications
• Diagnosis
• Drug therapy
• Epidemiology
• Etiology
• Pathology
• Rehabilitation
• Surgery
• Therapy
Medline Plus
Used keyword:
• Accesory navicular bone
• Os tibiale externum

Definition/Description[edit | edit source]

The accessory navicular or os tibiale externum is often erroneously considered as a normal anatomic and roentgenographic.
It is the most common ossicle in the foot. [1] Most commonly it occurs bilateral.[2]

We can distinct three types of accessory navicular bone:
1) A small round separate ossicle imbedded within the posterior tibial tendon.
2) A larger, triangular ossification centre adjacent to the navicular tuberosity and connected by a synchondrosis.
3) An enlarged medial horn of the navicular itself, called a cornuate navicular.
These three types have a collective incidence of 4 to 21% [3] The type 2 and 3 variants have been associated with pathologic conditions such as posterior tibial tendon tear and accessory navicular bone [3]

Clinically Relevant Anatomy[edit | edit source]

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Epidemiology /Etiology[edit | edit source]

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Characteristics/Clinical Presentation[edit | edit source]

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Differential Diagnosis[edit | edit source]

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Outcome Measures[edit | edit source]

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Examination[edit | edit source]

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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]

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Resources
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Clinical Bottom Line[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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