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Updated: Nov 24, 2025

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The Bipartite Medial Cuneiform.

Daniel Pollack, Matthew Diament, Yelizaveta Kotlyarova

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    |December 23, 2020
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    Summary
    This summary is machine-generated.

    A painful bipartite medial cuneiform in a young woman, without trauma, showed severe arthritis and cysts. Treatment involved surgical fusion (arthrodesis) with bone grafting and a bone stimulator.

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    Area of Science:

    • Orthopedics
    • Radiology
    • Podiatry

    Background:

    • Bipartite medial cuneiform is a rare foot anomaly.
    • It can present with pain and degenerative changes, often mimicking other conditions.

    Observation:

    • A 23-year-old female presented with a painful bipartite medial cuneiform without a history of trauma.
    • Magnetic resonance imaging revealed severe arthritic and cystic changes, subchondral erosions, and bone marrow edema.

    Findings:

    • The bipartite medial cuneiform demonstrated significant degenerative joint disease and intraosseous cyst formation.
    • The imaging findings suggested an unusual presentation of symptomatic bipartite medial cuneiform.

    Implications:

    • This case highlights the importance of considering bipartite medial cuneiform in young adults with foot pain and degenerative changes.
    • Surgical intervention, including arthrodesis and bone grafting, can effectively manage severe symptomatic cases.