Surgical treatment of symptomatic accessory navicular in children and adolescents.

Juan Pretell-Mazzini, Robert F. Murphy, Jeffrey R. Sawyer, David D. Spence, William C. Warner, James H. Beaty, Alice Moisan, Derek M. Kelly

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Although an accessory navicular (AN) is present in approximately 10% of the population, it rarely is symptomatic, and few cases necessitate operative intervention. When symptoms require surgical treatment, excision of the AN, with or without advancement of the posterior tibial tendon, usually is successful. We reviewed our records to evaluate the outcomes and complications of surgical treatment of AN. Retrospective chart review identified patients younger than 18 who were treated surgically for a painful AN between 1991 and 2012. Medical records and digital images were reviewed to determine demographic information, duration of symptoms before surgery, type of AN, presence of flatfoot deformity, type of surgery, length of follow-up, outcomes, and complications. Twenty-seven patients (32 feet) had either isolated excision (14 feet) or excision plus tendon advancement (18 feet). Overall, 28 (87.5%) of feet had excellent or good functional outcomes. There was no significant difference in outcomes between the 2 procedures, though there was a trend toward more complications and more reoperations after tendon advancement.

Original languageEnglish (US)
Pages (from-to)110-113
Number of pages4
JournalAmerican journal of orthopedics (Belle Mead, N.J.)
Issue number3
StatePublished - Mar 2014
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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