“Thank you, I got full marks in this exam!” During the summer vacation of 2021, Xiaoyu (pseudonym), a 14-year-old boy from Changsha, who was unable to exercise due to foot pain caused by the auxiliary navicular bones of his feet, was working in the Department of Children’s Orthopedics of Hunan Provincial People’s Hospital. surgery. After a year of postoperative rehabilitation and physical exercise, he achieved a perfect score in this year’s physical education entrance examination. When he came to the hospital for re-examination on July 15, 2022, Xiaoyu repeatedly thanked the chief surgeon, Director Xiao Sheng.
As early as the first day of middle school, Xiaoyu found that his feet were different from others. Not only did a small bone bulge on the inside of his feet, it looked a little red, and the fingers felt painful when pressed. The pain is worse during physical activities such as skipping rope. In the Department of Children’s Orthopedics of Hunan Provincial People’s Hospital, he was diagnosed as “bipedic navicular and bilateral flat feet”, and the pain remained after conservative treatment. In order not to delay the preparation for the sports high school entrance examination, at the request of Xiaoyu and his parents, after careful examination and evaluation, chief physician Xiao Sheng and deputy chief physician Li Xin performed a “bilateral auxiliary navicular resection for him in July 2021. Reconstruction of the posterior tibial tendon insertion” surgery.
After the operation, Xiaoyu’s foot pain did not appear again, and the arch collapse was also significantly improved, and she could run and jump normally.
“The human foot is composed of 26 bones, and about 10% of adolescents have a small bone on the inner side of the foot, which bulges out like a hill”, Xiao Sheng, director of the Children’s Orthopaedic Department of Hunan Provincial People’s Hospital The chief physician introduced: This extra bone grows on the navicular tubercle and is called the accessory navicular bone. Some accessory navicular bones are asymptomatic and do not require clinical intervention; however, some accessory navicular bones can change the running direction and insertion point of the posterior tibial tendon, destroy the function of the posterior tibial tendon to maintain the longitudinal arch and varus of the foot, affect the stability of the foot, and lead to flat feet , bursitis, tendonitis, etc., resulting in pain, swelling and other symptoms, thus affecting daily walking and movement.
Xiao Sheng said that common foot abnormalities in children and adolescents include flat feet, accessory navicular bones, hallux valgus, club feet, and high arched feet. These abnormalities can lead to changes in the alignment of the feet and even the lower limbs, resulting in ankle, knee, and hip pain, abnormal gait, restricting the normal activities of children and adolescents, and even causing disability and deformity, seriously endangering their physical and mental health.
He reminded that parents should pay attention to observe the growth and development of their children. Once they find abnormal appearance of limbs and other bones; walking, running, and jumping postures are different from ordinary people; joint and bone pain, etc., they should seek medical attention in time. , to avoid serious consequences such as affecting growth and development due to delayed treatment.
Xiaoxiang Morning News reporter Xia Sheng correspondent Liang Hui Li Fanling picture/Zhang Siqi
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