Os Vesalianum Pedis in a Professional Badminton Player: A Case Report.

Cureus

Department of Sports Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IND.

Published: September 2024

AI Article Synopsis

  • Os vesalianum pedis (OVP) is a rare accessory bone near the fifth metatarsal in the foot, mostly asymptomatic but can sometimes cause lateral foot pain.
  • A case study involves a 36-year-old badminton player with swelling and pain, initially misdiagnosed with a pseudo-Jones fracture before being correctly identified with OVP through detailed X-ray analysis.
  • Proper clinical assessment and imaging, particularly oblique radiographs, are essential for accurate diagnosis to avoid misdiagnosis and unnecessary treatment.

Article Abstract

Os vesalianum pedis (OVP) is one of the exquisite accessory ossicles adjacent to the foot's fifth metatarsal base. Though most of the OVP cases are asymptomatic, only a handful of patients who presented with lateral foot pain have been reported. A 36-year-old professional badminton player presented with swelling and tenderness in the right foot at the metatarsal base. An initial radiographic examination revealed a pseudo-Jones fracture. As a result of persistent pain and concerns regarding OVP, a reassessment of the X-ray was conducted. The examination revealed a radiolucent line with well-defined and well-corticated edges, uniformly separating the ossicle from the metatarsal in the right foot, consequently leading to the diagnosis of OVP. Following diagnosis, the patient was managed conservatively. Os vesalianum is not a common source of pain on the midfoot's lateral side. An oblique radiograph is an appreciable strategy to demonstrate the accessory ossicle. Thus, a careful clinical examination, coupled with the correlation of radiological findings, is a prerequisite to prevent misdiagnosis and overtreatment thereafter.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11446485PMC
http://dx.doi.org/10.7759/cureus.68411DOI Listing

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  • A case study involves a 36-year-old badminton player with swelling and pain, initially misdiagnosed with a pseudo-Jones fracture before being correctly identified with OVP through detailed X-ray analysis.
  • Proper clinical assessment and imaging, particularly oblique radiographs, are essential for accurate diagnosis to avoid misdiagnosis and unnecessary treatment.
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