Sustainable treatment success of an Os naviculare syndrome using conservative measures, infiltration therapy, and shock waves.

Andresen, Julian Ramin; Radmer, Sebastian; Puchner, Stephan E

Andresen, Julian Ramin; Radmer, Sebastian; Puchner, Stephan E.

Afiliación

Andresen JR; Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.
Radmer S; Specialist Practice for Orthopedics, Centre for Orthopedics, Berlin, Germany.
Puchner SE; Department of Orthopedics and Trauma Surgery, Medical University of Vienna, Vienna, Austria.

J Surg Case Rep ; 2024(8): rjae544, 2024 Aug.

Article en En | MEDLINE | ID: mdl-39211370

ABSTRACT

ABSTRACT

Medial plantar foot pain can have various causes, and the painful Os tibiale externum should be considered in the differential diagnosis. A reliable diagnosis can be made through physical examination and multimodal imaging. We report on a 53-year-old man with severe, load-dependent pain consistent with an accessory navicular syndrome, caused by a pes planovalgus, which consecutively induced focal inflammation and tenosynovitis of the tibialis posterior tendon. Multifactorial conservative measures, including infiltration therapy, provided only moderate symptom relief. A final shockwave therapy ultimately led to a sustainable symptom relief.

Palabras clave

accessory tarsal bones; immobilizing foot pain; os naviculare accessorium; os naviculare syndrome; os tibiale externum; shockwave therapy

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Surg Case Rep Año: 2024 Tipo del documento: Article País de afiliación: Austria Pais de publicación: Reino Unido

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