Percutaneous Drilling of Symptomatic Accessory Navicular in Young Athletes
- 1 April 2005
- journal article
- research article
- Published by SAGE Publications in The American Journal of Sports Medicine
- Vol. 33 (4), 531-535
- https://doi.org/10.1177/0363546504270564
Abstract
Background: Results of percutaneous drilling for symptomatic type II accessory tarsal navicular bone are not determined.Hypothesis: Percutaneous drilling of accessory navicular synchondrosis will induce or accelerate bone union between the accessory and primary navicular bones. Bone union of the synchondrosis leads to symptomatic relief.Study Design: Case series; Level of evidence, 4.Methods: Thirty-one feet of 29 patients with type II accessory tarsal navicular treated by percutaneous drilling were reviewed.Results: Twenty-four feet (77.4%) were assessed as excellent, 6 (19.4%) as good, and 1 (3.2%) as fair. No feet were assessed as poor. Bone union was obtained in 16 (80%) of the 20 feet when the proximal phalanx of the great toe was immature and in 2 of the 11 feet when it was mature.Conclusion: Percutaneous drilling of the synchondrosis was effective for a symptomatic type II accessory navicular, especially in patients with immature proximal phalanx of the great toe.Keywords
This publication has 6 references indexed in Scilit:
- Clinical Outcome of Surgical Treatment of the Symptomatic Accessory NavicularFoot & Ankle International, 2004
- Kidner Procedure for Symptomatic Accessory Navicular and Its Relation to Pes PlanusFoot & Ankle International, 1995
- Surgical Treatment of Symptomatic Accessory Tarsal NavicularJournal of Pediatric Orthopaedics, 1990
- The Accessory Navicular SynchondrosisPublished by Ovid Technologies (Wolters Kluwer Health) ,1986
- The painful accessory navicularSkeletal Radiology, 1984
- The Accessory Tarsal Seaphoid:Clinical Features and TreatmentActa Orthopaedica, 1953