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KMID : 0377619700180010059
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Korean Jungang Medical Journal
1970 Volume.18 No. 1 p.59 ~ p.63
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A Report of the Operative Treatment on 5 Cases (7 feet) of the Accessory Tarsal Scaphoid
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Abstract
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Five cases of the accessory tarsal scaphoids treated surgically are reported. Four cases were bilateral accessory tarsal scaphoids and one case was unilateral. In all cases, both mild or moderate bony protrusion, painful swelling and local tenderness on the posteromedial aspect of the tarsal scaphoid were seen. Most of the patients have experienced frequent traumatic sprains on walking except for one case, which revealed a typical spastic flat foot deformity.
In the surgical treatment, one foot was treated by wedge resection of the tuberosity of the tarsal scaphoid and transposition of the tibialis posterior tendon into the transposition of the tibialis posterior tendon into the tarsal scaphoid with a screw. Four feet were treated by Kidner´s procedure. Two feet were treated by excision of an accessory tarsal scaphoid and transposition of tibialis posterior tendon with a screw or wire fixation passed through two drill holes directed from the inferior-lateral to the superior-medial aspect of the tarsal scaphoid.
Results of more than 6 months follow-up examination showed that none of the cases had any specific complaints and all reported freedom from foot trouble in their daily lives.
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