Skip to main content

Advertisement

SpringerLink
Log in

Lateral foot pain due to os vesalianum pedis in a young football player; a case report and review of the current literature

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Os vesalianum pedis is a rare accessory ossicle located at the 5th metatarsal base. This anatomic variation is typically asymptomatic and usually detected incidentally on routine foot radiographs. However, it may be a source of lateral foot pain and rarely become symptomatic following traumatic ankle injuries such as an inversion ankle sprain. To date, seven symptomatic os vesalianum pedis cases that required surgical treatment have been reported in the current literature. Herein, a 17-year-old professional football player with a symptomatic os vesalianum pedis was presented. The ossicle was surgically removed upon failure of conservative treatment. At the sixth month, the patient returned to sport without any restriction or pain. Clinical presentation, diagnosis, and treatment options of symptomatic os vesalianum pedis were discussed with an extensive literature review.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Keles-Celik N, Kose O, Sekerci R, Aytac G, Turan A, Güler F. Accessory ossicles of the foot and ankle: disorders and a review of the literature. Cureus. 2017;9(11):e1881. https://doi.org/10.7759/cureus.1881.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Vesalius A. De Pedis Ossibvs. De Humani Corporis Fabrica, p 142, 1543.

  3. O’Rahilly R. A survey of carpal and tarsal anomalies. J Bone Joint Surg Am. 1953;35-A(3):626–42.

    Article  Google Scholar 

  4. Tsuruta T, Shiokawa Y, Kato A, Matsumoto T, Yamazoe Y, Oike T, et al. Radiological study of the accessory skeletal elements in the foot and ankle. Nihon Seikeigeka Gakkai Zasshi. 1981;55(4):357–70 Japanese.

    CAS  PubMed  Google Scholar 

  5. Coskun N, Yuksel M, Cevener M, Arican RY, Ozdemir H, Bircan O, et al. Incidence of accessory ossicles and sesamoid bones in the feet: a radiographic study of the Turkish subjects. Surg Radiol Anat. 2009;31(1):19–24. https://doi.org/10.1007/s00276-008-0383-9.

    Article  PubMed  Google Scholar 

  6. Cilli F, Akçaoğlu M. The incidence of accessory bones of the foot and their clinical significance. Acta Orthop Traumatol Turc. 2005;39(3):243–6.

    PubMed  Google Scholar 

  7. Baastrup CI. Os vesalianum tarsi and fracture of the tuberositas ossis metatarsi V. Acta Radiol 1:334–348, 1921–1922.

  8. Smith AD, Carter JR, Marcus RE. The os vesalianum: an unusual cause of lateral foot pain a case report and review of the literature. Orthopedics. 1984;7(1):86–9. https://doi.org/10.3928/0147-7447-19840101-12.

    Article  CAS  PubMed  Google Scholar 

  9. Inoue T, Yoshimura I, Ogata K, Emoto G. Os vesalianum as a cause of lateral foot pain: a familial case and its treatment. J Pediatr Orthop B. 1999;8(1):56–8.

    CAS  PubMed  Google Scholar 

  10. Wilson TC, Wilson RC, Ouzounov KG. The symptomatic os vesalianum as an uncommon cause of lateral foot pain: a case report. J Am Podiatr Med Assoc. 2011;101(4):356–9.

    Article  Google Scholar 

  11. Dorrestijn O, Brouwer RW. Bilateral symptomatic os vesalianum pedis: a case report. J Foot Ankle Surg. 2011;50(4):473–5. https://doi.org/10.1053/j.jfas.2011.03.012.

    Article  PubMed  Google Scholar 

  12. Petrera M, Dwyer T, Ogilvie-Harris DJ. A rare cause of foot pain with golf swing: symptomatic os vesalianum pedis-a case report. Sports Health. 2013;5(4):357–9. https://doi.org/10.1177/1941738113482446.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Beil FT, Burghardt RD, Strahl A, Ruether W, Niemeier A. Symptomatic Os Vesalianum. A case report and review of the literature. J Am Podiatr Med Assoc. 2017;107(2):162–5. https://doi.org/10.7547/15-160.

    Article  PubMed  Google Scholar 

  14. Sarrafian SK, Kelikian AS. Development of the Foot and Ankle. Sarrafian’s Anatomy of the Foot and Ankle. Editor: Kelikian AS. Third Edition. Lippincott, Philadelphia, 2011. Page. 3–39.

  15. Dameron TB Jr. Fractures and anatomical variations of the proximal portion of the fifth metatarsal. J Bone Joint Surg Am. 1975 Sep;57(6):788–92.

    Article  Google Scholar 

  16. De Cuveland E. The apophyses of the fifth metatarsal and of the os vesalianum. Fortschr Geb Rontgenstr. 1955;82(2):251–7.

    Article  Google Scholar 

  17. Northover JR, Milner SA. A case report of an accessory bone in the foot. Foot (Edinb). 2006;16(3):172–4. https://doi.org/10.1016/j.foot.2006.02.004.

    Article  Google Scholar 

  18. Kose O. Os vesalianum pedis misdiagnosed as fifth metatarsal avulsion fracture. Emerg Med Australas. 2009;21(5):426. https://doi.org/10.1111/j.1742-6723.2009.01221.x.

    Article  PubMed  Google Scholar 

  19. Tiwaria M, Khannaa V, Kodidea U, Vaishyab R. Os vesalianum—a confounding diagnosis. Apollo Med. 2015;12(4):285–6. https://doi.org/10.1016/j.apme.2015.09.002.

    Article  Google Scholar 

  20. Boya H, Ozcan O, Tandoğan R, Günal I, Araç S. Os vesalianum pedis. J Am Podiatr Med Assoc. 2005;95(6):583–5.

    Article  Google Scholar 

  21. Boya H, Oztekin HH, Ozcan O. Abnormal proximal fifth metatarsal and os vesalianum pedis. J Am Podiatr Med Assoc. 2007;97(5):428–9.

    Article  Google Scholar 

  22. Kose O. The accessory ossicles of the foot and ankle; a diagnostic pitfall in emergency department in context of foot and ankle trauma. JAEM. 2012;11:106–14.

    Article  Google Scholar 

  23. Muehleman C, Williams J, Bareither ML. A radiologic and histologic study of the os peroneum: prevalence, morphology, and relationship to degenerative joint disease of the foot and ankle in a cadaveric sample. Clin Anat. 2009;22(6):747–54. https://doi.org/10.1002/ca.20830.

    Article  CAS  PubMed  Google Scholar 

  24. Deniz G, Kose O, Guneri B, Duygun F. Traction apophysitis of the fifth metatarsal base in a child: Iselin’s disease. BMJ Case Rep. 2014. https://doi.org/10.1136/bcr-2014-204687.

    Google Scholar 

  25. Ralph BG, Barrett J, Kenyhercz C, DiDomenico LA. Iselin’s disease: a case presentation of nonunion and review of the differential diagnosis. J Foot Ankle Surg. 1999;38(6):409–16.

    Article  CAS  Google Scholar 

  26. Kim MH, Kim WH, Kim CG. Kim DW. Os vesalianum pedis detected with bone SPECT/CT. Clin Nucl Med. 2014;39(2):e190–2. https://doi.org/10.1097/RLU.0000000000000305.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Sani Konukoglu Training and Research Hospital, Department of Orthopedics and Traumatology, SANKO University, Gaziantep, Turkey

    Faruk Aykanat & Mehmet Cenk Cankus

  2. Department of Orthopedics, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands

    Cornelis Vincenten

  3. Department of Orthopedics and Traumatology, Antalya Training and Research Hospital, Antalya, Turkey

    Ozkan Kose

  4. Antalya Egitim ve Arastirma Hastanesi, Ortopedi Klinigi, Kazım Karabekir cad. Soguksu, Muratpasa, 07100, Antalya, Turkey

    Ozkan Kose

  5. Medical Faculty, Department of Anatomy, Akdeniz University, Antalya, Turkey

    Muzaffer Sindel

Authors
  1. Faruk Aykanat
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Cornelis Vincenten
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mehmet Cenk Cankus
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ozkan Kose
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Muzaffer Sindel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ozkan Kose.

Ethics declarations

Conflict of interest statement

The authors declare that they have no conflict of interest.

Informed consent

Written informed consent has been obtained from the patient for publication of medical records and imaging.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Aykanat, F., Vincenten, C., Cankus, M.C. et al. Lateral foot pain due to os vesalianum pedis in a young football player; a case report and review of the current literature. Skeletal Radiol 48, 1821–1828 (2019). https://doi.org/10.1007/s00256-019-03190-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-019-03190-4

Keywords

Search

Navigation