Njoku Austin Confidence O, Simonian Lauren E, Mirvish Asher B, Fogg David N, Njoku Austin Goodness C, Reddy Rajiv P, Crentsil Victor C, Como Matthew, Clayton Elizabeth O, Cunningham Onaje, Finger Logan E, Smith Richard M, Hogan MaCalus V
Department of Orthopaedic Surgery, University of Pittsburgh, PA, USA.
University of Pittsburgh School of Medicine, PA, USA.
Foot Ankle Orthop. 2025 Sep 3;10(3):24730114251359654. doi: 10.1177/24730114251359654. eCollection 2025 Jul.
An accessory navicular is a supernumerary ossicle located medial to the navicular bone, typically within the substance or insertion of the posterior tibial tendon, and can be a source of pain and dysfunction in active individuals.
This was a retrospective comparative study evaluating the outcomes of the modified Kidner procedure in athletes (ballet, basketball, volleyball, running, football, soccer, etc) and nonathletes. Our study included 42 consecutive feet that were operatively managed with the modified Kidner procedure for a symptomatic accessory navicular between the years 2014 and 2023. Patients who underwent any other procedure in addition to the modified Kidner procedure were excluded from the study. The objective of this study is to determine the outcomes of the modified Kidner procedure for an accessory navicular in the athletic population compared to the nonathletic or general population.
Athletes had no difference in postoperative Foot and Ankle Ability Measure (FAAM) activities of daily living (ADL) and visual analog scale (VAS) scores compared with nonathletes. Interestingly, comparison of single-sport to multisport athletes revealed that single-sport athletes presented with worse preoperative VAS and FAAM scores. However, there was no significant difference in postoperative patient-reported outcomes between single-sport and multisport athletes.
Our results suggest that although single-sport athletes may present with more severe preoperative symptoms, they experience comparable improvement following operative management relative to nonathletes or multisport athletes.
Level III, retrospective comparative study.
副舟骨是位于舟骨内侧的多余小骨，通常位于胫后肌腱实质内或其附着处，可成为活跃个体疼痛和功能障碍的来源。
这是一项回顾性比较研究，评估改良Kidner手术在运动员（芭蕾舞、篮球、排球、跑步、足球等）和非运动员中的疗效。我们的研究纳入了2014年至2023年间连续42只因有症状的副舟骨而接受改良Kidner手术治疗的足部。除改良Kidner手术外还接受任何其他手术的患者被排除在研究之外。本研究的目的是确定与非运动员或普通人群相比，改良Kidner手术治疗副舟骨在运动员群体中的疗效。
与非运动员相比，运动员术后的足踝功能测量（FAAM）日常生活活动（ADL）和视觉模拟量表（VAS）评分没有差异。有趣的是，单运动项目运动员与多运动项目运动员的比较显示，单运动项目运动员术前的VAS和FAAM评分更差。然而，单运动项目运动员和多运动项目运动员术后患者报告的结果没有显著差异。
我们的结果表明，尽管单运动项目运动员术前症状可能更严重，但相对于非运动员或多运动项目运动员，他们在手术治疗后获得了相当的改善。
三级，回顾性比较研究。
