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Bipartite medial cuneiform: a potential cause of midfoot pain - case report

2023; Volume: 17; Issue: 2 Linguagem: Inglês

10.30795/jfootankle.2023.v17.1697

2675-2980

Thales Augusto de Santa Helena Ilha, José Antônio Veiga Sanhudo, Marina Pires Veiga Sanhudo, Maria Eduarda Parisotto Wisintainer,

Orthopedic Surgery and Rehabilitation

Bipartite medial cuneiform is a rare variant of the tarsal bones. The condition can be a potential source for non-traumatic midfoot pain and a possible misdiagnosis cause of several foot disorders, such as the anterior and posterior tibialis tendon disorder. We present the case of a patient with midfoot pain with signs and symptoms suggestive of tibialis anterior tendinopathy. Imaging tests, however, elucidated a bipartite medial cuneiform. The conservative treatment using a removable boot for six weeks effectively relieved symptoms, temporarily promoting pain and limp-free gait, but symptoms relapsed were observed at the last visit.