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Bilateral symptomatic os vesalianum pedis: a case report
Oscar Dorrestijn1, Reinoud W Brouwer
1Department of Orthopaedic Surgery, Martini Hospital Groningen, The Netherlands. o.dorrestijn@mzh.nl
Summary
Os vesalianum pedis, a rare foot accessory bone, can cause pain. Both surgical and non-surgical treatments effectively reduce pain, though each carries risks and potential for recurrence.
Area of Science:
- Orthopedics
- Podiatry
- Anatomy
Background:
- Os vesalianum pedis is an uncommon accessory bone located near the fifth metatarsal, often within the peroneus brevis tendon.
- Its low incidence means it is rarely symptomatic, but diagnosis requires differentiating it from other fifth metatarsal base pathologies.
Observation:
- This report details an exceptionally rare case of bilateral symptomatic os vesalianum pedis.
- The clinical presentation, disease progression, and treatment outcomes of this unique case are thoroughly described.
Findings:
- Both conservative management and surgical intervention proved effective in alleviating pain associated with symptomatic os vesalianum pedis.
- Surgical treatment presented risks, including potential sural nerve branch injury, while conservative methods offered slower pain relief and a risk of recurrence.
Implications:
- This case highlights that symptomatic os vesalianum pedis, though rare, can be managed effectively through various treatment modalities.
- Understanding the differential diagnoses and treatment options is crucial for managing this uncommon foot condition.
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