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Accessory bones of the ankle. [13]Accessory bones at the ankle mainly include: Os subtibiale, with a prevalence of approximately 1%. [14] It is a secondary ossification center of the distal tibia that appears during the first year of life, and which in most people fuses with the shaft at approximately 15 years in females and approximately 17 years in males.
An accessory navicular bone is an accessory bone of the foot that occasionally develops abnormally in front of the ankle towards the inside of the foot. This bone may be present in approximately 2-14% of the general population and is usually asymptomatic. [1] [2] [3] When it is symptomatic, surgery may be necessary.
Additionally, the Ottawa ankle rules indicate whether a foot X-ray series is required. It states that it is indicated if: There is any pain in the midfoot zone; and, Any one of the following: Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR; Bone tenderness at the navicular bone (for foot injuries), OR
The navicular bone is a keystone of the foot: it is part of the coxa pedis and articulates with the talus, first, second and third cuneiform, cuboid and calcaneus. It plays an important role in the biomechanics of the foot, helping in inversion, eversion, and motion; it is a structural link between midfoot and forefoot and it is part of the ...
The base is the part closest to the ankle and the head is closest to the toes. The narrowed part in the middle is referred to as the body (or shaft) of the bone. The bone is somewhat flat giving it two surfaces; the plantar (towards the sole of the foot) and the dorsal side (the area facing upwards while standing). [1]
A Jones fracture is a broken bone in a specific part of the fifth metatarsal of the foot between the base and middle part [8] that is known for its high rate of delayed healing or nonunion. [4] It results in pain near the midportion of the foot on the outside. [2] There may also be bruising and difficulty walking. [3] Onset is generally sudden. [4]
Ultrasonography machine: uses ultrasound to produce images from within the body; video link: X-ray: uses X-rays to produce images of structures within the body; video link: Contrast media for X-rays: to provide a high contrast image of the details of the viscera under study; e.g. salts of heavy metals, gas like air, radio-opaque dyes, organic ...
Forceful, external rotation of the ankle joint is the main cause of a Maisonneuve fracture. [4] [7] Engaging in high-intensity sports or falling over can increase the risk of tearing the deltoid ligament or cause an avulsion fracture of the medial malleolus from external rotation of the foot.