Definition:

This procedure starts with a simple surgical excision. In this generally the accessory navicular along with its prominence is removed. In this procedure, skin incision is made dorsally to the prominence of accessory navicular. Bone is removed to the point where the medial foot has no bony prominence over the navicular, between the head of the talus and first cuneiform. Symptoms are relieved in 90% of cases.

Symptoms:

• Point tender on navicular
• Pain in the medial, plantar foot
• Flat foot

Causes:

• Painful flat foot
• Accessory navicular
• Valgus stress injury

Treatment:

• Period of immobilization in a short leg cast x 4 weeks
• Non-weight bearing x 4 weeks
• Range of motion, both passive and active
• Ankle stabilization exercises
• Lower extremity strengthening
• Gait program