Painful os intermetatarseum

NewsBot · Jul 20, 2006

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Painful os intermetatarseum in athletes: report of four cases and review of the literature.
Arch Orthop Trauma Surg. 2006 Jul 19;

INTRODUCTION: A painful os intermetatarseum, which described the compression of the deep peroneal nerve by an os intermetatarseum, is a very rare condition. The authors reported four cases of painful os intermetatarseum in athletes and reviewed the present literature.

CASE PRESENTATION: We present four cases of a painful os intermetatarseum in athletes, who complained of pain over the dorsum of their foot associated with paresthesias in the first web space. Surgical excision of the os intermetatarseum relieved the pain in all patients. All patients returned to previous sporting activities.

CONCLUSION: We should consider a painful os intermetatarseum as being the cause of dorsal foot pain in athletes, and surgical excision of the os intermetatarseum is effective for these patients.
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Admin2 · Jul 20, 2006

Dorsal foot pain

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NewsBot · Sep 14, 2013

Bilateral fused os intermetatarseum presenting as dorsal foot pain: a case report.
Kose IC, Hizal M, Bulut EG, Atli E, Ergen FB.
Surg Radiol Anat. 2013 Sep 12.

PURPOSE:
Os intermetatarseum is a rare accessory bone of the forefoot and usually situated between the base of the first and second metatarsals. Most of the cases are asymptomatic and diagnosed incidentally. Here, we report a rare form of os intermetatarseum presented with bilateral dorsal foot pain and to the authors' knowledge, it is the first case which includes computerized tomography (CT) and magnetic resonance imaging (MRI) findings.
METHODS:
A 23-year-old male complained of localized bump at the dorsum of the both feet underwent bilateral anteroposterior foot radiograms which was unremarkable and then CT and MRI were performed.
RESULTS:
MRI of both feet demonstrated osseous structures in relation with medial os cuneiforme. Computerized tomography demonstrated bilateral os intermetatarsea fused with medial os cuneiforme.
CONCLUSIONS:
It is important for radiologist to know that os intermetatarseum can be presented as dorsal foot pain. Due to its position, it is difficult to demonstrate os intermetatarseum in plain radiographs, CT and MRI should be performed in clinically suggestive cases.
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NewsBot · Aug 16, 2020

Os intermetatarseum: An analysis of morphology and case reports of fracture
Timo van Aswegen et al
J Med Imaging Radiat Oncol. 2020 Aug 13

Introduction: The os intermetatarseum is an uncommon accessory ossicle of the foot located dorsally, between the bases of the first and second metatarsals that are usually asymptomatic. In the setting of trauma, this ossicle can clinically mimic a Lisfranc fracture-dislocation, a potentially disabling condition often requiring surgical intervention.

Methods: In this study, 47 cases of os intermetatarseum were reviewed across several Western Australian (WA) Hospitals and characterised based on morphology. Any fractures were recorded, and their cases were reviewed.

Results: The most common type of os intermetatarseum was freestanding at 63%, followed by the articulating type at 30%. Only 7% were of the fused type. Two acute fractures were identified on plain radiography and computed tomography (CT).

Conclusion: The distribution of os intermetatarseum subtypes in the WA population is consistent with previous radiological studies. The two cases of isolated acute os intermetatarseum fracture are described, the first to our knowledge, highlighting the need for increased awareness of this ossicle in the setting of foot trauma.
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NewsBot · Jul 13, 2021

Painful Os Intermetatarseum: Abnormal MRI imaging
findings
Callum Narita, Paul Marovic
International Journal of Sport, Exercise and Health Research 2021; 5(1): 28-29

Accessory ossicles are a common incidental finding on imaging of the feet. Os intermetatarseum is one such ossicle.
These mostly remain asymptomatic; however, pain syndromes associated with accessory ossicles are a known entity
and the diagnosis of painful os syndrome should be considered in undifferentiated foot pain. Whilst use of imaging in
the diagnosis of painful os syndromes of the foot is well substantiated, there is little available literature on the use of
magnetic resonance imaging (MRI) in the diagnosis of painful os intermetatarseum. We report a case of painful os
intermetatarseum with MRI findings that have not previously been described.
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NewsBot · Apr 3, 2023

Os intermetatarseum presenting as splay foot; Case report and literature review
K.N. Sharafeldin et al
International Journal of Surgery Case Reports 28 March 2023, 108069

Introduction and importance
This report described the management of a lady with a rare finding of a large size of Os intermetatarseum in a bizarre location. This unique condition resulted in a splay foot which was rarely discussed in the literature.

Case presentation
A lady in her early fifth decade has complained of foot swelling and difficulty wearing shoes for the last two years. Her main concern was the worry of a malignant condition.

Clinical discussion
She had an unusually huge articulated lump in the third web space. Also, it showed a central foot splay. A full battery of radiological investigation gave a narrow list of possible differential diagnoses. The final diagnosis showed that it was Os intermetatarseum. Surgical treatment involved enucleating the mass and correcting foot splay using a mini-tight rope®. The histopathology report confirmed the diagnosis of Os intermetatarseum. The central forefoot splay was treated by a known surgical tool differently. Post-operatively she was put on physical therapy. Five years follow-up showed improved foot anatomy and functional outcomes with no recurrence.

Conclusion
Awareness of this rare condition as a differential diagnosis. Complete excisional biopsy of the lump will be a valid option for this condition, as well as using a mini-tight rope® in dealing with central foot splay.
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NewsBot · May 16, 2023

Symptomatic Os intermetatarseum in a 12-year-old child
Henriette Bretschneider, Falk Thielemann, Stefan Rammelt
Fuß & Sprunggelenk; 6 May 2023

Os intermetatarseum is a relatively frequent accessory foot bone that rarely becomes symptomatic. We present a case of a symptomatic os intermetatarseum in a 12-year-old child, who presented to our clinic with pain during sports and prolonged physical activity. Several months ago, a midfoot sprain had occurred without any detectable fractures. The patient continued to have pain. The diagnosis of a bilateral os intermetatarseum – more prominent on the symptomatic left side – was confirmed with plain radiographs and computed tomography scanning. Surgical resection of the painful accessory bone on the left side was performed. Six weeks postoperatively the patient was asymptomatic and fully returned to sports.
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Painful os intermetatarseum

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Painful os intermetatarseum

NewsBot The Admin that posts the news.

Admin2 Administrator Staff Member

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

NewsBot The Admin that posts the news.

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Sudden bump on the side of my foot, painful

Share This Page

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