Accessory navicular bone

Title

Not a rare disease

Other Names:

Accesory navicular syndrome

Categories:

Congenital and Genetic Diseases

Summary Summary

An accessory navicular bone is an extra bone or piece of cartilage located in the middle of the foot near the navicular bone, the bone that goes across the foot near the instep. It is present from birth (congenital) and is a common trait.^[1]^[2] The reported incidence differs among populations and ethnic groups, and they are mostly reported as incidental findings in anatomical and imaging studies, estimated to occur in approximately 2 to 20% of the general population.^[3] There are three types of accessory navicular bones which are differentiated by location, size, and tissues involved (bone and/or cartilage). Although some people with an accessory navicular bone never develop symptoms, a bump can develop in the affected region that can lead to irritation, swelling, and pain. This painful condition is sometimes referred to as "accessory navicular syndrome."^[4]^[1] Inheritance appears to be autosomal dominant.^[1]^[2] If symptoms occur, treatment may include immobilizing the foot with a cast or removable boot; applying ice; physical therapy; and orthotic devices, such as arch support.^[4]^[1]

Click here to view a diagram of the foot.

Last updated: 8/14/2017

Symptoms Symptoms

While some individuals with an accessory navicular bone never experience symptoms, others can develop a painful condition, sometimes referred to as accessory navicular syndrome. This occurs when the bone and/or connective tissue are aggravated. This can be caused by injury to the affected region, chronic irritation from from shoes or other sources, and excessive activity or overuse. Symptoms of accessory navicular syndrome usually occur around adolesence and may include development of a painful, red or swollen bump on the midfoot (inner side of the foot above the arch).^[4]

Last updated: 9/6/2016

This table lists symptoms that people with this disease may have. For most diseases, symptoms will vary from person to person. People with the same disease may not have all the symptoms listed. This information comes from a database called the Human Phenotype Ontology (HPO) . The HPO collects information on symptoms that have been described in medical resources. The HPO is updated regularly. Use the HPO ID to access more in-depth information about a symptom.

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Medical Terms	Other Names	Learn More: HPO ID
Percent of people who have these symptoms is not available through HPO
Abnormality of the os naviculare pedis		0100339
Autosomal dominant inheritance		0000006
Pes planus	Flat feet Flat foot [ more ]	0001763

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Do you have more information about symptoms of this disease? We want to hear from you.

Last updated: 10/1/2020

Do you have updated information on this disease? We want to hear from you.

Cause Cause

An accessory navicular bone is typically considered to be a developmental abnormality present from birth (congenital). Research involving large studies of families of individuals with accessory navicular bone suggests a genetic influence with possible autosomal dominant inheritance. The exact cause of accessory navicular bone is unknown; however, it may be related to an incomplete joining (fusion) of bones and connective tissue during development and/or an abnormal separation of affected bones and connective tissue.^[5]^[6]

Last updated: 9/6/2016

Treatment Treatment

If the accessory navicular bone is causing symptoms, activities may be restricted and a softer shoe may be recommended until the symptoms go away. If the symptoms persist, a specially and carefully made shoe support may be tried. For people with accessory navicular bone who experience severe symptoms, surgery may be considered to remove the bony growth. Other treatments may include medications such as nonsteroidal anti-inflammatories (NSAIDs), immobilizing the area with a cast or boot, and physical therapy.^[4]

Last updated: 9/6/2016

Find a Specialist Find a Specialist

If you need medical advice, you can look for doctors or other healthcare professionals who have experience with this disease. You may find these specialists through advocacy organizations, clinical trials, or articles published in medical journals. You may also want to contact a university or tertiary medical center in your area, because these centers tend to see more complex cases and have the latest technology and treatments.

If you can’t find a specialist in your local area, try contacting national or international specialists. They may be able to refer you to someone they know through conferences or research efforts. Some specialists may be willing to consult with you or your local doctors over the phone or by email if you can't travel to them for care.

You can find more tips in our guide, How to Find a Disease Specialist. We also encourage you to explore the rest of this page to find resources that can help you find specialists.

Healthcare Resources

The American Orthopaedic Foot & Ankle Society has a physician locator tool that can help you find your local orthopaedic foot and ankle doctor.
To find a medical professional who specializes in genetics, you can ask your doctor for a referral or you can search for one yourself. Online directories are provided by the American College of Medical Genetics and the National Society of Genetic Counselors. If you need additional help, contact a GARD Information Specialist. You can also learn more about genetic consultations from Genetics Home Reference.

Learn More Learn More

These resources provide more information about this condition or associated symptoms. The in-depth resources contain medical and scientific language that may be hard to understand. You may want to review these resources with a medical professional.

Where to Start

The FootHealthFacts.org Website was created and is maintained by the American College of Foot and Ankle Surgeons. Click on FootHealthFacts.org to view a resource page on Accessory Navicular Syndrome.

In-Depth Information

Online Mendelian Inheritance in Man (OMIM) is a catalog of human genes and genetic disorders. Each entry has a summary of related medical articles. It is meant for health care professionals and researchers. OMIM is maintained by Johns Hopkins University School of Medicine.
PubMed is a searchable database of medical literature and lists journal articles that discuss Accessory navicular bone. Click on the link to view a sample search on this topic.

GARD Answers GARD Answers

Questions sent to GARD may be posted here if the information could be helpful to others. We remove all identifying information when posting a question to protect your privacy. If you do not want your question posted, please let us know.

Have a question? Contact a GARD Information Specialist.

References References

Victor A. McKusick. NAVICULAR BONE, ACCESSORY. OMIM. 9/16/2010; http://www.omim.org/entry/161600. Accessed 9/2/2016.
Dobbs MB & Walton T. Autosomal Dominant Transmission of Accessory Navicular. The Iowa Orthopaedic Journal. 2004; 24:84-85. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1888424/.
Kalbouneh H, Alajoulin O, Alsalem M, Humoud N, Shawaqfeh J, Alkhoujah M, Abu-Hassan H, Mahafza W & Badran D. Incidence and anatomical variations of accessory navicular bone in patients with foot pain: A retrospective radiographic analysis. Clin. Anat. 2017; 3:436–444. https://www.ncbi.nlm.nih.gov/pubmed/28295608.
Accessory Navicular Syndrome. American College of Foot and Ankle Surgery. https://www.foothealthfacts.org/footankleinfo/Accessory_Navicular_Syndrome.aspx. Accessed 9/2/2016.
Peter A Ugolini, Steven M Raikin. The accessory navicular. Foot and Ankle Clinics. March 2004; 9(1):165-180. http://www.ncbi.nlm.nih.gov/pubmed/15062220.
Dobbs MB Walton T. Autosomal dominant transmission of accessory navicular. Iowa Orthop J. 2004; 24:84-85. http://www.ncbi.nlm.nih.gov/pubmed/PMC1888424.