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accessory bones ossicles seattle wa foot doctor however they can form between two bones or be an extension of a normal bone which has not fully united to it during development we call these bones accessory ossicles the most mon accessory ossicles of the foot are the os peroneum the os navicularis and the os trigonum the accessory ossicles of the foot and ankle a diagnostic summary of accessory ossicles and sesamoid bones that may simulate fractures around the foot and ankle figure 1 locations of mon accessory ossicles and sesamoid bones seen around the foot and ankle 1 accessory navicular bone 2 os vesalianum 3 os peroneum 4 os intermetatarseum 5 medial hallux sesamoids 6 lateral hallux sesamoid 7 accessory ossicles of the foot accessory ossicles of the feet are mon developmental variants with almost 40 having been described the more mon ones include os peroneum os subfibulare os accessory ossicles and sesamoid bones recognition and accessory ossicles and sesamoid bones are normal variants of bone development in foot and ankle x rays these bones can appear similar to or can obscure fractures which makes the x rays difficult to interpret accessory bones of the foot foot and ankle academy these small bones are called accessory bones of the foot or accessory ossicles of the foot although accessory bones are un mon some are seen more mon in general population mon accessory bones of the foot os tibiale externum os trigonum os peroneum os vesalianum accessory bone at the base of the 5th metatarsal bone cureus accessory ossicles of the foot and ankle are normal variants of bone development that usually remain asymptomatic however they may be involved in various disorders ankle arthroscopy patients site ossicles are small bones the ossicles which occur in the ankle are accessory ossicles extra bones which form naturally during the development of the skeleton the most mon accessory ossicle in the ankle is the os trigonum which occurs in about 5 of all people it forms next to the talus or anklebone management of foot pain associated with accessory bones management of foot pain associated with accessory bones of the foot that are formed during chronic foot pain the optimal treatment for the conservative and accessory bones and extra bones of the feet extra bones and accessory bones of the feet seattle podiatrist explains cause and treatment of accessory bones avoid surgery is it a fracture or is it an accessory ossicle accessory ossicles in the foot are abundant making it difficult to assess whether or not there is a fracture

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