title: A case report on bilateral avascular necrosis of the medical cuneiforms.
abstract: Avascular necrosis rarely affects the cuneiform bones. The treatment has been mainly conservative and histological confirmation of osteonecrosis is therefore not available. The authors report a case of bilateral avascular necrosis of both medial cuneiforms with histological confirmation. The patient was treated operatively with decompression of intra-osseous pressure through multiple drill holes. Six weeks postoperatively, the symptoms subsided and radiographs showed reconstitution of both medial cuneiforms.
authors.affiliation: Department of Orthopaedic O Surgery, Singapore General Hospital.
authors.forename: J T
authors.initials: JT
authors.lastname: Chew
authors.forename: C K
authors.initials: CK
authors.lastname: Low
authors.forename: A K
authors.initials: AK
authors.lastname: Mitra
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D010020:Osteonecrosis / Q000473:pathology / Q000601:surgery*; D013639:Tarsal Bones / Q000473:pathology