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Small but troublesome: accessory ossicles with clinical significance
André Vaz1, Cesar Rodrigo Trippia2
1MD, Resident in Radiology and Diagnostic Imaging at the Hospital Nossa Senhora das Graças, Curitiba, PR, Brazil.
Radiologia Brasileira
|September 12, 2018
Summary
Accessory ossicles, extra bones from unfused centers, were once thought asymptomatic but are now linked to painful syndromes due to advanced radiology. This study reviews their radiological aspects and historical descriptions.
Area of Science:
- Orthopedics
- Radiology
- Anatomy
Background:
- Accessory ossicles are supernumerary, inconstant bones arising from unfused ossification centers.
- Historically, these ossicles were considered asymptomatic.
- Recent advances in radiological techniques suggest associations with painful syndromes.
Purpose of the Study:
- To describe the radiological features of accessory ossicles.
- To review the historical descriptions and evolution of understanding accessory ossicles.
- To stimulate further discussion on this often-overlooked topic.
Main Methods:
- Radiological assessment of accessory ossicles.
- Literature review of historical and contemporary descriptions.
Main Results:
- Detailed radiological findings of accessory ossicles presented.
- Evolution of the understanding of accessory ossicles from asymptomatic to potentially symptomatic entities documented.
- Controversies and limited discussion surrounding accessory ossicles highlighted.
Conclusions:
- Accessory ossicles, though historically disregarded, warrant attention due to their potential association with pain.
- Further radiological investigation and discussion are needed to clarify the clinical significance of accessory ossicles.
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