Osteonecrosis of the Intermediate Cuneiform: A Case Report

Area of Science:

• Orthopedics
• Podiatry
• Bone Diseases

Background:

• Osteonecrosis, the death of bone tissue due to lack of blood supply, rarely affects the foot bones.
• While osteonecrosis in the foot typically involves the talus and navicular bones, intermediate cuneiform involvement is exceptionally uncommon.
• Previous literature reports exclusively document pediatric cases of intermediate cuneiform osteonecrosis.

Purpose of the Study:

• To report the first case of adult intermediate cuneiform osteonecrosis resistant to conservative management.
• To describe the surgical approach and outcomes for treating this rare condition in an adult.

Main Methods:

• Case report of an adult patient diagnosed with intermediate cuneiform osteonecrosis.
• Review of conservative treatment failures.
• Surgical intervention and post-operative assessment.

Main Results:

• The adult patient's intermediate cuneiform osteonecrosis did not respond to conservative treatments.
• Surgical intervention yielded positive outcomes for the patient.
• This case expands the understanding of intermediate cuneiform osteonecrosis to the adult population.

Conclusions:

• Osteonecrosis of the intermediate cuneiform can occur in adults and may necessitate surgical intervention.
• Surgical treatment can be effective for adult intermediate cuneiform osteonecrosis refractory to conservative care.
• This case highlights the importance of considering surgical options for rare foot osteonecrosis presentations.