Magnetic resonance imaging findings in bipartite medial cuneiform – a potential pitfall in diagnosis of midfoot injuries: a case series
2008

MRI Findings in Bipartite Medial Cuneiform: A Case Series

Sample size: 3 publication Evidence: low

Author Information

Author(s): Elias Ilan, Dheer Sachin, Zoga Adam C, Raikin Steven M, Morrison William B

Primary Institution: Thomas Jefferson University Hospital

Hypothesis

What are the MRI characteristics of a non-symptomatic bipartite medial cuneiform?

Conclusion

A bipartite medial cuneiform is a rare developmental anomaly of the midfoot and may be a source of midfoot pain.

Supporting Evidence

  • Bipartite medial cuneiforms occur in approximately 0.3% of individuals.
  • Identifying a bipartite medial cuneiform is important to avoid misdiagnosis as a fracture.
  • Two patients with chronic foot pain associated with a bipartite cuneiform were successfully treated.

Takeaway

Sometimes, people's feet have a special bone shape that can look like a broken bone on pictures. Knowing this helps doctors not to confuse it with a real break.

Methodology

The study describes the MRI characteristics of three cases of bipartite medial cuneiform and contrasts its appearance to that of a medial cuneiform fracture.

Limitations

The study is based on a small number of cases and lacks follow-up imaging for some patients.

Participant Demographics

Three male patients aged 34 to 59 years.

Digital Object Identifier (DOI)

10.1186/1752-1947-2-272

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