Os Vesalianum Pedis in a Young Adult: A Case Report and Literature Review.

Curēus
Vasileios K MousafeirisThomas Repantis

Abstract

Os vesalianum pedis is a rare accessory foot ossicle. It is usually asymptomatic, however, it can be an infrequent cause of lateral foot pain. We present the case of a 19-year-old healthy male with lateral foot pain after an inversion-type injury. Initial X-rays were mistaken for fracture of the fifth metatarsal, however, a high index of suspicion for the presence of the os vesalianum led us to perform imaging of the contralateral foot; a mirror image with contralateral os vesalianum was revealed. The patient was treated conservatively and had an excellent outcome. In the context of trauma, os vesalianum must be differentiated from other causes of lateral foot pain, such as Iselin's disease, avulsion fracture of the fifth metatarsal, Jones fracture, and others. Os vesalianum pedis is characterized as a rounded ossicle, with smooth edges, surrounded by cortical bone. Prompt diagnosis is essential as it changes the management.

References

Dec 30, 1999·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·B G RalphL A DiDomenico
Nov 18, 2005·Journal of the American Podiatric Medical Association·Hakan BoyaSükrü Araç
Jul 18, 2008·Surgical and Radiologic Anatomy : SRA·Nigar CoskunMuzaffer Sindel
Oct 21, 2009·Emergency Medicine Australasia : EMA·Ozkan Kose
May 17, 2011·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Oscar Dorrestijn, Reinoud W Brouwer
Aug 6, 2011·Journal of the American Podiatric Medical Association·Thomas C WilsonKaloian G Ouzounov
Jan 25, 2014·Sports Health·Massimo PetreraDarrell J Ogilvie-Harris
May 17, 2014·BMJ Case Reports·Gokmen DenizFatih Duygun
May 1, 2016·European Journal of Radiology·Yogesh KumarAvneesh Chhabra
Apr 11, 2017·Journal of the American Podiatric Medical Association·Frank Timo BeilAndreas Niemeier

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