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Updated: Apr 30, 2026

Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
Accessory foot bones in a Portuguese identified skeletal collection
Ana Maria Silva1,2,3, Francisco Curate4,5
1Department of Life Sciences, Research Centre for Anthropology and Health (CIAS), University of Coimbra, Coimbra, Portugal. amgsilva@antrop.uc.pt.
Accessory foot bones like os trigonum and calcaneus secundarium are common anatomical variations. This study analyzed their prevalence and laterality in skeletal collections, finding no sex differences.
Area of Science:
- Anatomy
- Bioarchaeology
- Forensic Anthropology
Background:
- Accessory foot bones are anatomical variations with implications for medicine and bioarchaeology.
- Studies on skeletal collections enhance understanding of their prevalence, size, shape, and laterality.
Purpose of the Study:
- To assess the prevalence of six accessory foot bones in the Coimbra Identified Skeletal Collection (CISC).
- To investigate potential sex differences in accessory bone occurrence.
- To document laterality and co-occurrence patterns of these anatomical variations.
Main Methods:
- Analysis of dry bone samples from 486 individuals in the CISC.
- Assessment of six specific accessory foot bones: os trigonum, calcaneus secundarium, accessory navicular bone, os vesalianum, os sustentaculum, and os intermetatarseum.
- Statistical evaluation of prevalence, sex distribution, laterality, and co-occurrence.
Main Results:
- Os trigonum (9.9%) and calcaneus secundarium (6.0%) were the most frequent accessory bones.
- Os sustentaculum (0.4%) was the least common.
- No significant sex differences were observed; most bones occurred unilaterally, except the accessory navicular bone (bilateral).
- Co-occurrence was noted in 1.7% of individuals, primarily os trigonum and calcaneus secundarium.
Conclusions:
- Skeletal collection studies are vital for understanding foot bone anatomical variations.
- This knowledge is crucial for clinical diagnoses, treatment, and establishing bioarchaeological/forensic standards.
- Prevalence data on accessory foot bones like os trigonum and calcaneus secundarium inform diverse scientific fields.
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