• 1

    Miller, TT . :Painful accessory bones of the foot. .Semin Musculoskel Radiol 6::153. ,2002. .

  • 2

    Mellado, J, A Ramos, E Salvado, et al. :Accessory ossicles and sesamoid bones of the ankle and foot: Imaging findings, clinical significance and differential diagnosis. .Eur Radiol 13::L164. ,2003. .

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 3

    Smith, AD, JR Carter, and RE Marcus. :The os vesalianum: An unusual cause of lateral foot pain: A case report and review of the literature. .Orthopedics 7::86. ,1984. .

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4

    Coskun, N, M Yuksel, M Cevener, et al. :Incidence of accessory ossicles and sesamoid bones in the feet: A radiographic study of the Turkish subjects. .Surg Radiol Anat 31::19. ,2009. .

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5

    Boya, H, O Ozcan, R Tandogan, et al. :Os vesalianum pedis. .JAPMA 95::583. ,2005. .

  • 6

    Tsuruta, T, Y Shiokawa, A Kato, et al. :Radiological study of the accessory skeletal elements in the foot and ankle. .Nippon Seikeigeka Gakkai Zasshi 55::357. ,1981. .

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7

    Cilli, F and M Akcaoglu. :The incidence of accessory bones of the foot and their clinical significance. .Acta Orthop Traumatol Turc 39::243. ,2005. .

  • 8

    Inoue, T, I Yoshimura, K Ogata, et al. :Os vesalianum as a cause of lateral foot pain: A familial case and its treatment. .J Pediatr Orthop Part B 8::56. ,1999. .

    • Search Google Scholar
    • Export Citation
  • 9

    Boya, H, H Oztekin, and O Ozcan. :Abnormal proximal fifth metatarsal and os vesalianum pedis. .JAPMA 97::428. ,2007. .

  • 10

    Scheuer, L and S Black. : “The Lower Limb. ,” inThe Juvenile Skeleton. , p431. ,Elsevier Academic Press. ,London. ,2004. .

  • 11

    Wilson, RC and BG Moyles. :Surgical treatment of the symptomatic os peroneum. .J Foot Surg 26::156. ,1987. .

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)