The navicular bone is located on the medial side of the tarsus, positioned between the talus behind and the three cuneiform bones in front. It plays an important role in connecting these structures and maintaining the integrity of the foot's arch. The name "navicular" derives from its boat-shaped appearance.
Location and Position
Located on the medial side of the tarsus
Positioned between the talus (posteriorly) and three cuneiform bones (anteriorly)
Forms a key part of the medial longitudinal arch of the foot
Articular Surfaces
Posterior surface:
Oval and concave
Articulates with the head of the talus
Anterior surface:
Convex from side to side
Divided into three facets
Articulates with the medial, intermediate, and lateral cuneiform bones
Lateral surface:
May present a small facet
Occasionally articulates with the cuboid bone
Dorsal Surface
Convex and rough surface
Provides attachment for ligaments
Plantar Surface
Irregular and rough surface
Provides attachment for portions of the plantar calcaneonavicular ligament
TUBEROSITY OF THE NAVICULAR
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The tuberosity of the navicular bone is a prominent bony projection on the medial surface. It serves as an important attachment point for the tibialis posterior tendon, one of the main muscles supporting the medial longitudinal arch of the foot.
Features of the Tuberosity
Rounded prominence on the medial surface
Easily palpable through the skin
Important landmark in clinical examination
Tibialis Posterior Insertion
Lower part provides insertion for a large portion of the tendon of Tibialis posterior
The muscle supports the medial longitudinal arch
Important in plantar flexion and inversion of the foot
Groove Feature
Features a groove between the tuberosity and the plantar process
Groove lodges part of the tendon of Tibialis posterior
Provides mechanical advantage for tendon function
Clinical Significance
Accessory navicular bone:
An additional ossification center may be present
Can cause pain with footwear pressure
Tibialis posterior dysfunction:
May lead to adult-acquired flatfoot deformity
Tenderness over the tuberosity is a clinical sign
BIBLIOGRAPHY
1. Henry G, Warren HL. Osteology. In: Anatomy of the Human Body. 20th ed. Philadelphia: Lea & Febiger; 1918. p. 129–97.