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Related Experiment Videos

Bilateral bipartite medial cuneiform. A case report.

M P Dellacorte1, P J Lin, P J Grisafi

  • 1Department of Podiatry, St. Joseph's Hospital, Flushing, NY.

Journal of the American Podiatric Medical Association
|September 1, 1992
PubMed
Summary

A fracture of the intermediate cuneiform bone was initially missed on standard X-rays due to overlapping anatomy. Computed tomography (CT) scans ultimately identified the fracture and revealed bilateral bipartite medial cuneiforms.

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Area of Science:

  • Podiatry
  • Radiology
  • Orthopedics

Background:

  • Routine radiography can present challenges in visualizing certain foot and ankle bone pathologies.
  • Overlapping anatomical structures can obscure fractures, leading to potential misdiagnosis.

Observation:

  • A case study involving a fracture to the intermediate cuneiform bone.
  • Initial radiographs and weight-bearing X-rays failed to definitively detect the fracture.
  • Computed tomography (CT) imaging was required for accurate fracture localization.

Findings:

  • The intermediate cuneiform fracture was only identified via CT scan.
  • Bilateral bipartite medial cuneiforms were incidentally discovered on CT.
  • Retrospective analysis confirmed the bipartite medial cuneiforms were present on initial radiographs, explaining the overlap.

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Implications:

  • Bipartite medial cuneiforms can mimic or obscure fractures on standard radiographs.
  • Podiatric physicians should consider bipartite anatomy when interpreting foot X-rays for osseous pathology.
  • CT imaging is a valuable tool for complex fracture diagnosis in the foot and ankle.