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Total contact cast
3%
74/2841
Steroid injection
1%
37/2841
MRI of the foot and chest CT scan
36/2841
Open biopsy
20/2841
Surgical excision
94%
2663/2841
Select Answer to see Preferred Response
The radiograph demonstrates an accessory navicular. Conservative measures are the first line treatment for the symptomatic accessory navicular. Surgical excision is a reliable intervention for cases refractory to conservative management. Grogan et al reviewed 39 patients with symptomatic accessory naviculars. Twenty-five went on to surgical resection following failure of conservative management with all 25 achieving complete relief. Incorrect answers: There are no periosteal changes, signs of bony destruction, or matrix present on the radiograph eliminating selections 3 and 4 for the work-up of malignancy.
3.4
(32)
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