title: Sports injury to a bipartite medial cuneiform in a child.
abstract: We report the case of an 11-year-old boy who had sustained a soccer injury to his mid-foot. Plain radiography did not reveal any fracture to account for the severity of his symptoms or his inability to bear weight. Magnetic resonance imaging was undertaken and demonstrated the medial cuneiform to be a bipartite bone consisting of 2 ossicles connected by a synchondrosis. No acute fracture or diastasis of the bipartite bone was demonstrated; however, significant bone marrow edema was noted, corresponding to the site of the injury and his clinical point bony tenderness. This anatomic variant should be considered as a rare differential diagnosis in the skeletally immature foot. The injury was treated nonoperatively with a non-weightbearing cast and pneumatic walker immobilization, with successful resolution of his symptoms and a return to sports activity by 4 months after injury.
authors.affiliation: Core Surgical Trainee, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK.
authors.forename: Timothy B
authors.initials: TB
authors.lastname: Eves
authors.affiliation: Specialist Registrar, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK.
authors.forename: Mudussar A
authors.initials: MA
authors.lastname: Ahmad
authors.affiliation: Consultant Trauma and Orthopaedic Surgeon, Department of Trauma and Orthopaedics, University College London Hospitals, National Health Services Foundation Trust, London, UK. Electronic address: mike.oddy@uclh.nhs.uk.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Oddy
mesh_terms: D001265:Athletic Injuries / Q000175:diagnosis* / Q000628:therapy; D002648:Child; D006801:Humans; D008297:Male; D012916:Soccer / Q000293:injuries*; D013639:Tarsal Bones / Q000002:abnormalities* / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000628:therapy
keywords: E-sign; bone; foot; soccer; surgery; synchondrosis; trauma