An accessort tarsal navicular ossicle may produce pain and tenderness despite conservative treatment modalities. This contion causes pain along the medial arch and limitations of activities. Procedure and simple excision technique keeps the tendon insertion intact while restoring some of the

Foot & Ankle Specialist, Vol. 1, No.4, 214-217 (2008), DOI 10-1177 / 1938640008321405

Lyle J. Micheli, MD : Division of Sports Medicine, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts, mjenkins@vineyard.net

Jason H. Nielson, MD: Children's Bone & Spine Surgery, Sunrise Pediatric Hospital, Las Vegas, Nevada

Claudio Ascani, MD: Clinique Sainte Anne Lurmiere, Lyon, France

Bryan K. Matanky, MD: Private practice, Casa Grande, Arizona

Peter G. Gerbino, MD: Monterey Joint Replacement and Sports Medicine, Monterey, California