대한족부족관절학회지 (Journal of Korean Foot and Ankle Society)
- 제5권1호
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- Pages.62-68
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- 2001
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- 1738-3757(pISSN)
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- 2288-8551(eISSN)
성인의 증세가 있는 부주상골
The Symptomatic Accessory Navicular in Adult
- 이우천 (인제대학교 서울백병원 정형외과) ;
- 남기헌 (한일병원 정형외과) ;
- 박현수 (한일병원 정형외과) ;
- 라종득 (한일병원 정형외과) ;
- 이철 (한일병원 정형외과) ;
- 고강훈 (한일병원 정형외과)
- Lee, Woo-Chun (Department of Orthopaedic Surgery, Inje University Paik Hospital) ;
- Nam, Ki-Heon (Department of Orthopaedic Surgery, Hanil General Hospital) ;
- Park, Hyun-Su (Department of Orthopaedic Surgery, Hanil General Hospital) ;
- Rha, Jong-Deuk (Department of Orthopaedic Surgery, Hanil General Hospital) ;
- Lee, Cheol (Department of Orthopaedic Surgery, Hanil General Hospital) ;
- Ko, Kang-Hoon (Department of Orthopaedic Surgery, Hanil General Hospital)
- 발행 : 2001.06.01
초록
Purpose: to investigate the etiology and the results of surgical treatment of the symptomatic accessory navicular in adults. Materials and Methods: Between 1996 and 2000, 17 cases in 16 adult patients who were older than 20 years were diagnosed as painful accessory na vicular. 11 patients could recall a twisting injury of the ankle, and 8 of them were inversion sprain. 4 patients had tibialis posterior tendon lesions. 13 feet of 12 patients were treated by resection of accessory navicular, the synchondrosis, the medial portion of the navicular and reattachment of tibialis posterior tendon without transposition. 9 feet in 8 patients were followed for more than one year after surgery. In 4 patients with tibialis posterior tendon lesions, additional procedures were performed according to the state of the lesion. Results: All were type II accessory navicular bone which had synchondroses. There was gross motion of the synchondrosis in 'the operating field in all feet. Of the 9 feet which were followed for more than one year after surgery, results were excellent in five and good in four. Conclusion: The painful accessory navicular in adult might be closely associated with inversion ankle sprain, and also with the tibialis posterior tendon lesions. Satisfactory result could be obtained without transposition of the tibialis posterior tendon to the undersurface of the navicular and immediate postoperative weight bearing does not have harmful effect on the result.