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Updated: Apr 6, 2026

Evaluating the Function of the Foot Core System in the Elderly
Published on: March 11, 2022
An additional middle cuneiform?
S D Brookes-Fazakerley1, G E Jackson2, S R Platt2
1Department of Trauma & Orthopaedics, Wirral University Teaching Hospital NHS Foundation Trust, Arrowe Park Hospital, Upton, Wirral, Merseyside, UK sbrookesfazakerley@yahoo.co.uk.
Abstract:
Additional cuneiform bones of the foot have been described in reference to the medial bipartite cuneiform or as small accessory ossicles. An additional middle cuneiform has not been previously documented. We present the case of a patient with an additional ossicle that has the appearance and location of an additional middle cuneiform. Recognizing such an anatomical anomaly is essential for ruling out second metatarsal base or middle cuneiform fractures and for the preoperative planning of arthrodesis or open reduction and internal fixation procedures in this anatomical location.
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