Citation

Eves TB, Ahmad MA, Oddy MJ. J. Foot Ankle Surg. 2014; 53(2): 232-234.

Affiliation

Core Surgical Trainee, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK.

Copyright

(Copyright © 2014, Elsevier Publishing)

DOI

10.1053/j.jfas.2013.03.030

PMID

23628192

Abstract

We report the case of an 11-year-old boy who had sustained a soccer injury to his mid-foot. Plain radiography did not reveal any fracture to account for the severity of his symptoms or his inability to bear weight. Magnetic resonance imaging was undertaken and demonstrated the medial cuneiform to be a bipartite bone consisting of 2 ossicles connected by a synchondrosis. No acute fracture or diastasis of the bipartite bone was demonstrated; however, significant bone marrow edema was noted, corresponding to the site of the injury and his clinical point bony tenderness. This anatomic variant should be considered as a rare differential diagnosis in the skeletally immature foot. The injury was treated nonoperatively with a non-weightbearing cast and pneumatic walker immobilization, with successful resolution of his symptoms and a return to sports activity by 4 months after injury.

Language: en