Accessory medial cuneiform bone in a child: unreported site and review of literature

Authors

  • Waleed Saqer Department of Orthopedic Surgery, King Hamad University Hospital, Bahrain
  • Atul Bandi Department of Orthopedic Surgery, King Hamad University Hospital, Bahrain
  • Salman Hasan Department of Orthopedic Surgery, King Hamad University Hospital, Bahrain
  • Maged Mostafa Department of Orthopedic Surgery, King Hamad University Hospital, Bahrain
  • Ahmed Refaat Khamis Department of Orthopedic Surgery, Benha University Hospital, Egypt http://orcid.org/0000-0002-1522-3069

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20213386

Keywords:

Accessory ossicle, Digital nerve, Os cuneo-I metatarsale- I dorsale

Abstract

Accessory ossicles of the foot are not uncommon finding in foot radiographs which has confused radiologists and orthopedic surgeons from time immemorial. Occasionally these bones are symptomatic, hindering daily activities of patients. We present a case report of an eleven years old girl with a symptomatic accessory medial cuneiform on the dorsal aspect of left foot. The child was evaluated radiologically and after a trial of failed conservative treatment, she was operated upon. Intraoperatively a superficial nerve on dorsum of this accessory ossicle was found, and the extra bone was excised. This accessory bone was found to be related to medial cuneiform bone at its dorsal and distal surface making to suggest its name as "Os cuneo-I metatarsale-I dorsale". Detailed radiological evaluation is mandatory for identification and exact anatomical localization of the extra bone before proceeding to excision, when non operative treatment fails to relieve the symptoms.

 

References

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Published

2021-08-25