Dorsal Medial Cuneiform Bony Outgrowth—Apophysis or Exostosis

NewsBot · Feb 22, 2021

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Dorsal Medial Cuneiform Bony Outgrowth—Apophysis or Exostosis
A Case Report
Malige, Ajith MD et al
JBJS Case Connector: January-March 2021 - Volume 11 - Issue 1

Case:
Three female children (11-15 years) presented with painful dorsomedial medial cuneiform masses that did not improve after conservative treatment. Findings were consistent with a diagnosis of medial cuneiform apophysis. After surgical resection, no patients had recurrence, although one continued to have pain from a deep peroneal nerve sensory branch that was resected. One patient had an intramass physis identified.

Conclusion:
When surgically removing dorsomedial cuneiform masses, surgeons should decompress overlying sensory nerve branches, detach and subsequently repair muscular attachments, and remove the entire stump to prevent regrowth because some of these masses may be apophyses and not exostoses.
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