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Symptomatic Os Intercuneiform: A Case Report.
Ichiro Tonogai1, Toshihiko Nishisho1, Shoichiro Takao2
1Assistant Professor, Department of Orthopedics, Institute of Biomedical Sciences, Tokushima University Graduate School, Tokushima, Japan.
Summary
An accessory bone, or os intercuneiform, in the foot caused pain and swelling. Surgical removal of the os intercuneiform provided symptomatic relief for the patient.
Area of Science:
- Orthopedic Surgery
- Anatomy
- Podiatry
Background:
- Accessory ossicles in the foot are common anatomical variations.
- The os intercuneiform is a rare accessory bone located between the navicular and cuneiform bones.
Observation:
- A patient presented with dorsal left foot pain, tenderness, and swelling.
- Imaging revealed an accessory bone, identified as an os intercuneiform, situated between the tarsal navicular and intermediate cuneiform.
Findings:
- Perioperative examination confirmed a synfibrotic connection between the os intercuneiform and adjacent tarsal bones.
- Conservative treatment options failed to alleviate the patient's symptoms.
Implications:
- Surgical excision of the symptomatic os intercuneiform resulted in complete postoperative pain relief.
- This case highlights the importance of considering accessory ossicles in the differential diagnosis of foot pain.
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