Magnetic resonance imaging findings in bipartite medial cuneiform - a potential pitfall in diagnosis of midfoot injuries: a case series.

Authors

Ilan Elias, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, 925 Chestnut Street, Philadelphia, PA, 19107, USAFollow
Sachin Dheer, Department of Radiology, Division of Musculoskeletal Imaging, Thomas Jefferson University Hospital, 132 S. 10th St. Suite 1079a, Philadelphia, PA, USAFollow
Adam C Zoga, Department of Radiology, Division of Musculoskeletal Imaging, Thomas Jefferson University Hospital, 132 S. 10th St. Suite 1079a, Philadelphia, PA, USAFollow
Steven M Raikin, Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, 925 Chestnut Street, Philadelphia, PA, 19107, USAFollow
William B Morrison, Department of Radiology, Division of Musculoskeletal Imaging, Thomas Jefferson University Hospital, 132 S. 10th St. Suite 1079a, Philadelphia, PA, USAFollow

Document Type

Article

Publication Date

1-1-2008

Comments

This article has been peer reviewed and is published in Journal of Medical Case Reports Volume 2, 13 August 2008, Article number 272. The published version is available at DOI: 10.1186/1752-1947-2-272. Copyright © BioMed Central Ltd.

Abstract

INTRODUCTION: The 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 PRESENTATIONS: In 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. CONCLUSION: A 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.

Recommended Citation

Elias, Ilan; Dheer, Sachin; Zoga, Adam C; Raikin, Steven M; and Morrison, William B, "Magnetic resonance imaging findings in bipartite medial cuneiform - a potential pitfall in diagnosis of midfoot injuries: a case series." (2008). Department of Radiology Faculty Papers. Paper 11.
https://jdc.jefferson.edu/radiologyfp/11

PubMed ID

18700977