Bipartite medial cuneiform: magnetic resonance imaging findings and prevalence of this rare anatomical variant

The Bipartite Medial Cuneiform—A Rare Cause of Midfoot Pain: Case Report and Review of Literature

“…Additionally, presence of bone marrow edema is often interpreted as a sign of pain-inducing interosseous instability indicating surgical intervention. 4 , 6 , 9 , 11 …”

“…Additionally, presence of bone marrow edema is often interpreted as a sign of pain-inducing interosseous instability indicating surgical intervention. 4,6,9,11 However, there are just 3 publications describing the conservative treatment of a symptomatic BMC in a case report. These 3 patients reported full pain relief after steroid injections.…”

“… 6 , 7 The incidence of the BMC is estimated to be between 0.1% and 2.4% of the population. 4 , 11 Normally this variant is asymptomatic but may become clinically relevant when acute trauma or chronic overuse of the foot damages the tissue bridge between the ossicles. Referring to the literature, successful treatment of a symptomatic BMC has been achieved with surgical treatment or injections.…”

Imaging of Bone Anatomical Variants Around the Foot and Ankle

“…They are also subject to trauma and degeneration up to necrosis that can be seen on MRI and also on bone scintigraphy. [12][13][14] Various studies and case reports have described the prevalence of accessory ossicles and sesamoid bones. The number of detected bones and range of prevalence vary widely in the literature, between 18% and 36% in the general population.…”

“…They are also subject to trauma and degeneration up to necrosis that can be seen on MRI and also on bone scintigraphy. 12 13 14…”