Leonard Zachary C, Fortin Paul T
Department of Orthopaedics, William Beaumont Hospital, 3535 West Thirteen Mile Road, Medical Office Building Suite 744, Royal Oak, MI 48073, USA.
Foot Ankle Clin. 2010 Jun;15(2):337-47. doi: 10.1016/j.fcl.2010.02.004.
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.
副舟骨是人类足部常见的一种异常情况。它应被列入足内侧疼痛的鉴别诊断范围。详细的病史、体格检查以及影像学检查方法有助于做出诊断。通常，根据小骨的分类和病变程度来指导治疗。非手术治疗措施可缓解症状。多种手术方法已被应用且效果良好。我们首选的方法是，对于小的副舟骨进行切除，对于大的副舟骨，在切除软骨结合后进行节段性融合。此外，还需要同时处理扁平外翻足畸形。
