Semin Musculoskelet Radiol 2002; 06(2): 153-162
DOI: 10.1055/s-2002-32361
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Painful Accessory Bones of the Foot

Theodore T. Miller
  • Department of Radiology, North Shore University Hospital, Manhasset, NY, and North Shore Imaging Associates, P.C., Great Neck, NY
Further Information

Publication History

Publication Date:
20 June 2002 (online)


Sesamoid bones and secondary centers of ossification account for the accessory bones of the foot, and there is a wide range of frequency with which these different ossicles appear. They are usually incidental asymptomatic findings on imaging studies, and their clinical importance lies in not mistaking them for fractures. Occasionally these ossicles can become painful due to fracture, degenerative changes, avascular necrosis, and irritation or impingement of adjacent soft tissue.