title: Magnetic resonance imaging findings in bipartite medial cuneiform - a potential pitfall in diagnosis of midfoot injuries: a case series.
abstract: BACKGROUND
  The bipartite medial cuneiform is an uncommon developmental osseous variant in the midfoot. To our knowledge, Magnetic Resonance Imaging (MRI) characteristics of a non-symptomatic bipartite medial cuneiform have not been described in the orthopaedic literature. It is important for orthopaedic foot and ankle surgeons, musculoskeletal radiologists, and for podiatrists to identify this osseous variant as it may be mistakenly diagnosed as a fracture or not recognized as a source of non-traumatic or traumatic foot pain, which may sometimes even require surgical treatment.
  
  
  METHODS
  In this report, we describe the characteristics of three cases of bipartite medial cuneiform on Magnetic Resonance Imaging and contrast its appearance to that of a medial cuneiform fracture.
  
  
  CONCLUSIONS
  A bipartite medial cuneiform is a rare developmental anomaly of the midfoot and may be the source of midfoot pain. Knowledge about its characteristic appearance on magnetic resonance imaging is important because it is a potential pitfall in diagnosis of midfoot injuries.
authors.affiliation: Department of Orthopaedic Surgery, Rothman Institute, Thomas Jefferson University Hospital, Philadelphia, PA, USA. ilanelias@hotmail.com.
authors.forename: Ilan
authors.initials: I
authors.lastname: Elias
authors.forename: Sachin
authors.initials: S
authors.lastname: Dheer
authors.forename: Adam C
authors.initials: AC
authors.lastname: Zoga
authors.forename: Steven M
authors.initials: SM
authors.lastname: Raikin
authors.forename: William B
authors.initials: WB
authors.lastname: Morrison