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World J Clin Cases. Dec 16, 2023; 11(35): 8256-8262
Published online Dec 16, 2023. doi: 10.12998/wjcc.v11.i35.8256
Accessory navicular in children
Feng Xiang, Zhi-Qing Liu, Xi-Ping Zhang, Yan-Jun Li, Jie Wen
Feng Xiang, Zhi-Qing Liu, Xi-Ping Zhang, Yan-Jun Li, Department of Traumatic Orthopedics, Zhuzhou Central Hospital, The Affiliated Zhuzhou Hospital of Xiangya Medical College, Central South University, Zhuzhou 412007, Hunan Province, China
Jie Wen, Department of Pediatric Orthopedics, Hunan Provincial People’s Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha 410013, Hunan Province, China
Co-corresponding authors: Yan-Jun Li and Jie Wen.
Author contributions: Xiang F is the first author; Li YJ and Wen J contributed equally to this study, and they share co-corresponding authorship; Li YJ conceived, designed, and coordinated the study; Xiang F performed the literature search and wrote the paper; JW contributed to data analysis; Liu ZQ and Zhang XP carried out the data collection and revised the paper; All authors reviewed the results and approved the final version of the manuscript.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jie Wen, PhD, Associate Professor, Department of Pediatric Orthopedics, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, No. 61 West Jiefang Road, Changsha 410013, Hunan Province, China. cashwj@qq.com
Received: August 23, 2023
Peer-review started: August 23, 2023
First decision: November 1, 2023
Revised: November 6, 2023
Accepted: December 4, 2023
Article in press: December 4, 2023
Published online: December 16, 2023
Processing time: 112 Days and 14.8 Hours
Core Tip

Core Tip: Accessory navicular is a developmental variation of the secondary ossification center of the navicular tuberosity. Ten percent of patients with accessory navicular will have pain symptoms that affect walking and life. Because the accessory navicular changes the position of the posterior tibial tendon insertion, children with accessory navicular often have posterior tibial tendon function insufficiency and flexible flatfoot. Surgical treatment is often required after failure of conservative treatment. This article reviewed the etiology, clinical manifestations, complications, and treatment methods of accessory navicular.