Symptomatic Bipartite Medial Cuneiform Treated with Fluoroscopic and Ultrasound-Guided Injections
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The bipartite medial cuneiform (BMC) is a rare congenital variant that was first described by Morel in the 18th century [2, 6]. Amongst the many causes of midfoot pain, BMC is primarily an imaging diagnosis that often depends on plain radiographs as the initial diagnostic test. Recognizing a BMC on radiographs can be difficult as the osseous segments are typically well corticated and blend with the remainder of the tarsal bones. Additionally, although there are many fracture patterns at the tarsometatarsal (TMT) joint level including Lisfranc injuries, the cleft between the osseous segments lies in the horizontal plane in contrast to the typical vertical orientation of isolated fractures through the medial cuneiform . The cleft is formed by a pseudoarticulation between the osseous segments. Symptomatic patients typically present with chronic midfoot pain that is exacerbated with ambulation or acute injury typically due to the inherent instability of the pseudoarticulatio ...
- Azurza K, Sakellariou A. Osteosynthesis of a symptomatic bipartite medial cuneiform. Foot Ankle Int. 2001; 22: 499-501.
- Barlow TE. Os cuneiforme I bipartum. Am J Phys Anthropol. 1942; 29: 95-111. CrossRef
- Bismil Q, Foster PAL, Venkateswaran B, Shanker J. Symptomatic bipartite medial cuneiform after injury: a case report. Foot Ankle Surg. 2005; 11: 55-58. CrossRef
- Burnett SE, Case DT. Bipartite medial cuneiform: new frequencies from skeletal collections and a meta-analysis of previous cases. Homo. 2001; 62: 109-125. CrossRef
- Chiodo CP, Parentis MA, Myerson MS. Symptomatic bipartite medial cuneiform in an adult athlete: a case report. Foot Ankle Int. 2002; 23: 348-351.
- Coughlin MJ, Mann RA, Saltzman CL. Surgery of the foot and ankle, ed 8. Amsterdam: Elsevier; 2007: 597-598. Sesamoids and accessory bones of the foot.
- Dellacorte MP, Lin PJ, Grisafi PJ. Bipartite medial cuneiform a case report. J Am Podiatr Med Assoc. 1992; 82: 475-478.
- Elias I, Dheer S, Zoga A, Raikin S, Morrison W. Magnetic resonance imaging findings in bipartite medial cuneiform—a potential pitfall in diagnosis of midfoot injuries: a case series. J Med Case Rep. 2008; 2: 272-276. CrossRef
- Eves T, Mudussar A, Oddy M (2013) Sports injury to a bipartite medial cuneiform in a child. J Foot Ankle Surg (in press)
- Kjellstrom A. A case study of os cuneiforme mediale bipartum from Stiguna, Sweden. Int J Osteoarcheol. 2004; 14: 475-480. CrossRef
- O'Neal ML, Ganey TM, Ogden JA. Fracture of a bipartite medial cuneiform synchondrosis. Foot Ankle Int. 1995; 16: 37-40. CrossRef
- Symptomatic Bipartite Medial Cuneiform Treated with Fluoroscopic and Ultrasound-Guided Injections
HSS Journal ®
Volume 10, Issue 1 , pp 92-97
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- Springer US
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- bipartite medial cuneiform
- ultrasound guided injection
- fluoroscopically guided injection
- mid-foot pain