https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2017.126

DOWNLOAD PDF
Table of Contents

Type of Article:  Case Report

Volume 5; Issue 1 (March 2017)

Page No.: 3634-3637

DOI: https://dx.doi.org/10.16965/ijar.2017.126

BIPARTITE MEDIAL CUNEIFORM AND CALCANEO-NAVICULAR COALITION IN A SINGLE INDIVIDUAL

Anna L Watts *1, Nicholas Duncan 2, Mark B Davies 3.

*1 Core Surgical Trainee, Department of Trauma and Orthopaedics, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.

2 Senior Foot and Ankle Fellow, Department of Trauma and Orthopaedics, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.

3 Consultant Trauma and Orthopaedic Surgeon, Department of Trauma and Orthopaedics, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK.

Corresponding Author Address: Anna L Watts MRCS, MBChB, Core Surgical Trainee, Department of Trauma and Orthopaedics, Sheffield Teaching Hospitals NHS Trust, Sheffield, UK. E-Mail: Anna.lillian.watts@gmail.com

ABSTRACT

Background: A bipartite medial cuneiform is a rare anatomical variation of the midfoot. Whilst it has been described in isolation there are few reports describing this variation alongside other anatomical anomalies of the foot.

Results: We are reporting the first case of a bipartite medial cuneiform in association with a calcaneonavicular coalition in a 27 year old male who presented with midfoot pain.

Conclusions: This case highlights the interesting origins of two seemingly opposing processes; demonstrating both the over-differentiation of primordial mesenchyme in-utero and separation and failure of fusion between two ossific nuclei.

Key words: Bipartite Medial Cuneiform, Tarsal coalition, Calcaneonavicular coalition.

REFERENCES

  1. Burnett SE, Caseb DT. Bipartitie medial cuneiform: New frequencies from skeletal collections and meta-analysis of previous cases. HOMO-Journal of comparative Human Biology 2011;62:109-125.
  2. Chang GH, Chang EY, Chung CB, Resnick DL . Bipartite Medial Cuneiform: Case Report and Retrospective Review of 1000 Magnetic Resonance (MR) Imaging Studies.Case reports in Medicine 2014;1-4.
  3. Brookes-Fazakerley SD, Jackson GE, Platt SR. An additional middle cuneiform?.Journal of surgical case reports 2015;7:1-4.
  4. Eves TB, Mudussar AA, Oddy MA. Sports Injury to a Bipartite Medial Cuneiform in a Child.The Journal of Foot & Ankle Surgery 2014;5:232-23.
  5. Panu A, Konin G, Saboeiro G, Schneider R. Symptomatic Bipartite Medial Cuneiform Treated with Fluoroscopic and Ultrasound-Guided Injections. Hospital for Special Surgery 2014;10:92–97.
  6. Elias I, Dheer S, Zoga AC. Magnetic resonance imaging findings in bipartite medial cuneiform – a potential pitfall in diagnosis of midfoot injuries: a case series. Journal of Medical Case Reports 2008;2:272.
  7. Kjellstrom A. A case study of os cuneiforme mediale bipartum from siguna, Sweeden. International Journal of Osteoarch 2004;14:475-480.
  8. Dellacorte MP, Parkson JL, Grisafi PJ. Bilateral medial cuneiform. Journal of the American Podiatric Medical Association.1992;82:475-478.
  9. Azurza K, Sakellariou A. Osteosynthesis of a symptomatic bipartite medial cuneiform. Foot and ankle International 2001;22:499-501.
  10. Chiodo CP, Parentis MA, Myerson MS. Symptomatic bipartitie medial cuneiform in an adult athlete: A case report. Foot and ankle international 2002;23:348-351.
  11. Jashashvili T, Ponce de Leo MS, Lordkipanidze D, Zollikofer CPE. First evidence of a bipartite medial cuneiform in the hominin fossil record: a case report from the Early Pleistocene site of Dmanisi. Journal of Anatomy 2010;216:705–716.
  12. Barlow TE. Os cuneiforme 1 bipartitum. American Journal of Physical Anthropology 1942;29:95-111.
  13. Lawrence DA, Rolen MF, Haims AH, Zayour Z, Moukaddam HA. Tarsal Coalitions: Radiographic, CT, and MR Imagining Findings. HSSJ 2014;10:153-166.
  14. Haffner M, Conklin M. Bones of the lower limb. In Bergmans comprehensive encyclopedia of human anatomic variations, Volume 1. 1st Edited by SR Tubbs, MM Shoja, M Loukas. New Jersey: Wiley-Blackwell; 2016:102-103.
  15. Nalaboff KM, Schweitzer ME. MRI of tarsal coalition: frequency, distribution and innovative signs. Bulletin if the NYU Hospital for joint diseases 2008;66:14-21.
  16. Laffranchi Z, Martín Flórez JS. Foot polydactyly and bipartite medial cuneiform: A case of co-occurrence in a celtic skeleton from Verona (Italy).HOMO-Journal of comparative Human Biology 2015;66:216-22.
  17. Dwight T. Variations of the bones of the hands and feet. Philadelphia:JB Lippincott Company;1907.
  18. Fulwadhva U, Parker RJ. Symptomatic bipartite medial cuneiform. Applied Radiology 2007;3:42-44.

Cite this article: Anna L Watts, Nicholas Duncan, Mark B Davies. BIPARTITE MEDIAL CUNEIFORM AND CALCANEO-NAVICULAR COALITION IN A SINGLE INDIVIDUAL. Int J Anat Res 2017;5(1):3634-3637. DOI: 10.16965/ijar.2017.126