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Can anyone tell me their experience with gout at the site of a large os navicularis? Have sent a patient for blood tests, as all signs and symptoms point towards gout, but wondering if the presence of the os navicularis increases likelyhood?
Ta
I cannot say that I have ever seen an acute gout attack localized to an accessory navicular. I've seen a few "global" gout attacks involving just about the entire foot and ankle, but none limited to just the Navicular area.
As you know there are several types of Accessory Naviculars, I believe only type II and III are considered intraarticular.
Have you ruled out the more common separated accessory navicular?
Steve
__________________
DrSArbes
Fellow American College of Foot & Ankle Surgeons
Board Certified Foot & Ankle Surgery, ABPS
Adjunct Professor OCPM
Green Bay, Wisconsin, USA
Blood tests will tell you nothing. If you still suspect gout, get them on Colchicine for 36-48 hrs ... if its gout, then this will work dramatically. .... but like Steve said, do not rule other things.
__________________ Craig Payne
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Os navicularis and gout
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