物治柯南-師大防護隊案例分享

主訴:訓練時小腿內側會痠，整隻腳會麻

評估:發現筋膜很緊也有accessory navicular導致TP出現問題，且有pronation foot現象，小腿內側

有水腫症狀，可能有Deep compartment syndrome，且因右腳症狀較嚴重，測出有長短腳問題

處置:筋膜放鬆、貼肌貼支持navicular、請選手用鞋墊及單腳跳繩改善短腳現象

Accessory Navicular Bone分為3 type

Type I: is a sesamoid bone in the posterior tibialis tendon. There is a small gap of approximately 3mm or less between the sesamoid and the navicular.

Type II: consists of an accessory bone, up to 1.2cm in diameter, where synchondrosis develops between it and the navicular.

Type III: is the fused accessory navicular resulting in a large cornuate shaped navicular.

資料來源:https://www.physio-pedia.com/Accessory_Navicular_Bone

https://radiopaedia.org/....../accessory-navicular...... Case courtesy of Dr Samir Benoudina, Radiopaedia.org, rID: 52883