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Accessory Navicular Syndrome in Athlete vs General Population
Hyuk Jegal1, Young Uk Park2, Jin Su Kim3
1Foot and Ankle Service, KT Lee's Orthopedic Hospital, Seoul, Korea.
Foot & Ankle International
|April 20, 2016
Summary
Athletes with accessory navicular syndrome (ANS) show poorer outcomes with conservative treatment compared to non-athletes. Early surgery may be beneficial for athletes experiencing symptomatic ANS.
Area of Science:
- Orthopedics
- Sports Medicine
- Podiatry
Background:
- Symptomatic accessory navicular syndrome (ANS) commonly affects young athletes, with symptoms worsening during physical activity.
- This condition can significantly impair athletic performance.
Purpose of the Study:
- To compare radiologic findings and clinical outcomes of accessory navicular syndrome (ANS) between athletes and non-athletes.
- To evaluate the effectiveness of conservative treatment and surgical intervention in these populations.
Main Methods:
- Retrospective analysis of 79 patients diagnosed with ANS (29 athletes, 50 non-athletes).
- Comparison of clinical features and radiologic findings between athletes and non-athletes.
- Evaluation of outcomes after conservative treatment and modified Kidner operation.
Main Results:
- Athletes had significantly lower improvement rates (6.9%) with conservative treatment compared to non-athletes (34%).
- Athletes presented with higher rates of trauma history, interosseous bone movement, and bone marrow edema.
- Younger age at surgery was noted in the athlete group.
Conclusions:
- Accessory navicular syndrome (ANS) in athletes exhibits distinct radiologic findings and a more refractory clinical course compared to the general population.
- Early surgical intervention should be considered for symptomatic ANS in athletes due to limited success with conservative management.
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