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Journal of the American Podiatric Medical Association, Vol 82, Issue 9 475-478, Copyright © 1992 by American Podiatric Medical Association


JOURNAL ARTICLE

Bilateral bipartite medial cuneiform. A case report

MP Dellacorte, PJ Lin and PJ Grisafi
Department of Podiatry, St. Joseph's Hospital, Flushing, NY.

A fracture to the intermediate cuneiform that was not definitively detected on routine radiographs because of the overlap of the cuneiform was presented. Weightbearing x-rays did not provide additional information. The anatomical location of the fracture was identified only after a computed tomography scan was performed. An incidental finding, bilateral bipartite medial cuneiforms, was also observed on the computed tomography scan, which contributed to the overlap on routine radiographs. The anatomy of the bipartite medial cuneiforms seen on computed tomography was similar to that described by Barlow in 1942. Retrospective comparison to the initial radiographs with the computed tomography scan sections did reveal bipartite medial cuneiforms on these films as well. The podiatric physician should keep bipartition in mind when evaluating x-rays for any osseous pathology, especially fractures.





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Copyright © 1992 by the American Podiatric Medical Association.