CASE 829: ACCESSORY TARSAL NAVICULAR BONE, Dr PHAN THANH HẢI, Dr MÃ NGUYỄN MINH TÙNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.

A 48 year-old man with his swollen right ankle pain for one month. His past history was an arterial stenting and denies any clue of trauma or arthritis.

Vascular ultrasound of the right ankle noted normal result  but it existed  an amount of collected fluid around his right ankle.

Lab data and tarsal X-ray were normal.

But MSCT and MRI detected an accessory tarsal navicular bone of the right foot. It also was an impingement syndrome at the right ankle due to the appearance of the accessory tarsal navicular bone and its articulation.

There was a degenerative arthritis between the two navicular bones.

Patient is a medicine fellow who denies any the  injected corticosteroid nor surgery, only applying the physical therapy.

REFERENCE:

https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.resurgens.com/education/accessory-navicular%23:~:text%3DAccessory%2520navicular%2520syndrome%2520is%2520a,risk%2520of%2520a%2520foot%2520injury.&ved=2ahUKEwiF5vjN8amNAxWCn68BHQzwDYYQFnoECCAQBQ&sqi=2&usg=AOvVaw2_-ljlxkaDUHGdyGejfjHD

https://www.foothealthfacts.org/conditions/accessory-navicular-syndrome-(1)