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Foot Ankle Spec. 2016 Feb;9(1):69-78. doi: 10.1177/1938640015576788. Epub 2015 Mar 17.

Symptomatic Bipartite Medial Cuneiform: Report of Five Cases and Review of the Literature.

Author information

1
Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS) efsteen@gmail.com.
2
Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS).

Abstract

Bipartition of the medial cuneiform is a well-described but rarely seen anatomic variant. The majority of literature focuses on anatomic description and incidents based on studies of archeological collections. Symptomatic cases can be overlooked or misdiagnosed initially given the vague complaint of pain either chronic in nature or following an acute injury that could result in a myriad of foot conditions. Treatment ranges from orthotics, immobilization, injection therapy, and surgery. Presented here is a series of 5 cases treated successfully with conservative and surgical measures.

LEVELS OF EVIDENCE:

Therapeutic, Level IV.

KEYWORDS:

bipartite medial cuneiform; bipartite tarsal bone; computed tomography–guided injection; injection; midfoot pain; ultrasound-guided injection

PMID:
25784458
DOI:
10.1177/1938640015576788
[Indexed for MEDLINE]

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