Accessory navicular bone

Case contributed by Jack Ren
Diagnosis certain

Presentation

Medial foot pain

mri
This study is a stack
Coronal
T1
This study is a stack
Axial
T1
This study is a stack
Axial PD
fat sat
This study is a stack
Sagittal
PD fat sat
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Info

There is an accessory  bone located on patient's posteromedial tuberosity of the tarsal navicular bone. The accessory bone has a cartilaginous connection to the navicular best seen on T2 sequence which suggests it is a type II accessory navicular bone.

Case Discussion

Accessory navicular bones are also known as os tibiale externum or os naviculare and are considered a normal anatomical variant; although it can cause a painful tendinosis. 

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