title: Symptomatic Bipartite Medial Cuneiform: Report of Five Cases and Review of the Literature.
abstract: Bipartition of the medial cuneiform is a well-described but rarely seen anatomic variant. The majority of literature focuses on anatomic description and incidents based on studies of archeological collections. Symptomatic cases can be overlooked or misdiagnosed initially given the vague complaint of pain either chronic in nature or following an acute injury that could result in a myriad of foot conditions. Treatment ranges from orthotics, immobilization, injection therapy, and surgery. Presented here is a series of 5 cases treated successfully with conservative and surgical measures.
  
  
  METHODS
  Therapeutic, Level IV.
authors.affiliation: Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS) efsteen@gmail.com.
authors.forename: Eric F
authors.initials: EF
authors.lastname: Steen
authors.affiliation: Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS).
authors.forename: Steven P
authors.initials: SP
authors.lastname: Brancheau
authors.affiliation: Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS).
authors.forename: Tho
authors.initials: T
authors.lastname: Nguyen
authors.affiliation: Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS).
authors.forename: Marc D
authors.initials: MD
authors.lastname: Jones
authors.affiliation: Hunt Regional Medical Center, Greenville, Texas (SPB)Department of Veterans Affairs Palo Alto Healthcare, Palo Alto, California (TN)Madigan Army Medical Center, Tacoma, Washington (MDJ, VLS).
authors.forename: Valerie L
authors.initials: VL
authors.lastname: Schade
mesh_terms: D000328:Adult; D003952:Diagnostic Imaging; D005260:Female; D005530:Foot Deformities / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D008297:Male; D008889:Military Personnel; D013639:Tarsal Bones / Q000002:abnormalities*
keywords: bipartite medial cuneiform; bipartite tarsal bone; computed tomography–guided injection; injection; midfoot pain; ultrasound-guided injection