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The Symptomatic Os Vesalianum as an Uncommon Cause of Lateral Foot Pain

A Case Report

Thomas C. Wilson Barry University School of Podiatric Medicine, Miami Shores, FL.

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Richard C. Wilson Department of Orthopedics, Holmes Regional Medical Center, Melbourne, FL.

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Kaloian G. Ouzounov Department of Research, Barry University School of Podiatric Medicine, Miami Shores, FL. Dr. Ouzounov is now with the Department of Orthopaedics, Podiatry, Jackson North Medical Center, North Miami Beach, FL.

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The os vesalianum is an uncommon pedal accessory bone located lateral to the fifth metatarsal base. It may occasionally become symptomatic and require surgical excision, as in the case reported here in a 24-year-old woman. Simple excision of the ossicle, while effective in the present case, can be complicated by the attachment of fibers of the peroneus brevis tendon into the ossicle, thus requiring careful tenorraphy and sometimes tenodesis. (J Am Podiatr Med Assoc 101(4): 356–359, 2011)

Corresponding author: Thomas C. Wilson, BHS, Barry University School of Podiatric Medicine, 11300 NE 2nd Avenue, Miami Shores, FL 33161 (E-mail: thomas.wilson@mymail.barry.edu)
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