Abstract
IntroductionThe bipartite medial cuneiform is an uncommon developmental osseous variant in the midfoot. To our knowledge, Magnetic Resonance Imaging (MRI) characteristics of a non-symptomatic bipartite medial cuneiform have not been described in the orthopaedic literature. It is important for orthopaedic foot and ankle surgeons, musculoskeletal radiologists, and for podiatrists to identify this osseous variant as it may be mistakenly diagnosed as a fracture or not recognized as a source of non-traumatic or traumatic foot pain, which may sometimes even require surgical treatment.Case presentationsIn this report, we describe the characteristics of three cases of bipartite medial cuneiform on Magnetic Resonance Imaging and contrast its appearance to that of a medial cuneiform fracture.ConclusionA bipartite medial cuneiform is a rare developmental anomaly of the midfoot and may be the source of midfoot pain. Knowledge about its characteristic appearance on magnetic resonance imaging is important because it is a potential pitfall in diagnosis of midfoot injuries.
Highlights
The bipartite medial cuneiform is an uncommon developmental osseous variant in the midfoot
Knowledge about its characteristic appearance on magnetic resonance imaging is important because it is a potential pitfall in diagnosis of midfoot injuries
Orthopaedic foot and ankle surgeons, musculoskeletal radiologists and podiatrists should be aware of this osseous variation as it may be mistakenly diagnosed as a fracture and recognize that a bipartite medial cuneiform may be a cause of a non-traumatic or traumatic midfoot pain that may sometimes even require surgical treatment [2,3]
Summary
A bipartite medial cuneiform is a rare developmental anomaly of the midfoot and has a characteristic appearance on MRI (E-Sign). Knowledge of the presence and appearance of this osseous variant is important in being able to identify this entity and to differentiate it from a fracture because this may potentially be a pitfall in diagnosis of midfoot injuries. Even in the absence of a fracture, a bipartite medial cuneiform may be the source of midfoot pain, which can be treated with various techniques, including surgery [3]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
