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Updated: Apr 12, 2026

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Os intermetatarseum - A case report.

Viswanath H Chavali1

  • 1Assistant Professor, Dept of Orthopaedics, Baroda Medical College, Vadodara, Gujarat 390001, India.

Journal of Clinical Orthopaedics and Trauma
|May 19, 2015
PubMed
Summary

Accessory ossicles like Os intermetatarseum can cause dorsal foot pain, especially in athletes. Early diagnosis and understanding of these common foot variations are crucial for effective patient management.

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Area of Science:

  • Orthopedics
  • Anatomy
  • Sports Medicine

Background:

  • Accessory ossicles and sesamoid bones are common skeletal variations in the foot and ankle.
  • While often asymptomatic, overuse or trauma can lead to symptomatic presentations, causing foot pain.
  • Understanding these anatomical variations is vital for diagnosing and managing foot pain.

Purpose of the Study:

  • To highlight Os intermetatarseum as a potential cause of dorsal foot pain.
  • To emphasize the importance of recognizing accessory ossicles in clinical practice.
  • To present a case report of symptomatic Os intermetatarseum in an athlete.

Main Methods:

  • Literature review on accessory ossicles and Os intermetatarseum.
  • Case report detailing a soccer player with dorsal foot pain.
Keywords:
Accessory ossiclesAnterior tarsal tunnel syndromeDeep peroneal nerveDorsal foot painOs intermetatarseum

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  • Radiological and clinical assessment of the affected foot.

    • Main Results:

    • The soccer player's dorsal foot pain was attributed to a symptomatic Os intermetatarseum.
    • Os intermetatarseum, located between the first and second metatarsals and medial cuneiform, was identified as the source of pain.
    • The incidence of Os intermetatarseum remains incompletely established due to limited studies.

    Conclusions:

    • Symptomatic Os intermetatarseum is a recognized cause of dorsal foot pain, particularly in athletic individuals.
    • Accurate diagnosis requires awareness of accessory ossicles and appropriate imaging.
    • Further anatomical and radiological studies are needed to establish the incidence of Os intermetatarseum.