The navicular bone is a small bone found in the feet of most mammals.
The navicular bone in humans is located on the medial side of the foot, and articulates proximally with the Talus bone, distally with the three , and laterally with the Cuboid bone.
It is the last of the foot bones to start ossification and does not tend to do so until the end of the third year in girls and the beginning of the fourth year in boys, although a large range of variation has been reported.
The tibialis posterior is the only muscle that attaches to the navicular bone. The main portion of the muscle inserts into the tuberosity of the navicular bone.
The navicular bone is a keystone of the foot: it is part of the coxa pedis and articulates with the talus, first, second and third cuneiform, cuboid and calcaneus. It plays an important role in the biomechanics of the foot, helping in inversion, eversion, and motion; it is a structural link between midfoot and forefoot and it is part of the longitudinal and transverse arch of the foot.
The navicular region is an important structure in relation to lameness, particularly in the front feet, and is involved with a significant disease process called navicular disease or navicular syndrome. Recently much of the original literature concerning navicular disease has been called into question, particularly the significance of radiographic changes as a sole diagnostic criterion.Citing Clinical Anatomy and Physiology Laboratory Manual for Veterinary Technicians, Colville, Thomas and Bassert, Joanna M. 2008 Publ. Mosby/Elsevier, Canada. "Navicular Bone - The distal sesamoid bone of the horse. The navicular bone is located deep in the hoof behind the joint between the middle and distal phalanges." Navicular syndrome may be responsible for as much as 1/3 of all cases of lameness in horses, but radiographic changes in the navicular bone do not always provide a definitive diagnosis. Newer imaging techniques have shown that damage to the soft tissues in the region may be significant contributors to lameness and that multiple causes may result in visible lameness.
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