Symptomatic Os Vesalianum - A Case Report and Review of the Literature

Frank Timo Beil; Rolf D Burghardt; Andre Strahl; Wolfgang Ruether; Andreas Niemeier

doi:10.7547/15-160

Symptomatic Os Vesalianum - A Case Report and Review of the Literature

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Symptomatic Os Vesalianum - A Case Report and Review of the Literature. / Beil, Frank Timo; Burghardt, Rolf D; Strahl, Andre; Ruether, Wolfgang; Niemeier, Andreas.

In: J AM PODIAT MED ASSN, Vol. 107, No. 2, 03.2017, p. 162-165.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Beil, FT, Burghardt, RD, Strahl, A, Ruether, W & Niemeier, A 2017, 'Symptomatic Os Vesalianum - A Case Report and Review of the Literature', J AM PODIAT MED ASSN, vol. 107, no. 2, pp. 162-165. https://doi.org/10.7547/15-160

APA

Beil, F. T., Burghardt, R. D., Strahl, A., Ruether, W., & Niemeier, A. (2017). Symptomatic Os Vesalianum - A Case Report and Review of the Literature. J AM PODIAT MED ASSN, 107(2), 162-165. https://doi.org/10.7547/15-160

Vancouver

Beil FT, Burghardt RD, Strahl A, Ruether W, Niemeier A. Symptomatic Os Vesalianum - A Case Report and Review of the Literature. J AM PODIAT MED ASSN. 2017 Mar;107(2):162-165. https://doi.org/10.7547/15-160

Bibtex

@article{57a0de2e05ec4ebeb2b4d82c1872b86c,

title = "Symptomatic Os Vesalianum - A Case Report and Review of the Literature",

abstract = "Os vesalianum is a rare accessory bone located proximal to the base of the fifth metatarsal in the peroneus brevis tendon. It is a radiographic diagnosis and mostly an asymptomatic incidental finding with a reported prevalence of 0.1% to 0.9%. Only 11 symptomatic cases have been described in the literature. Surgical therapy has been reported with good outcome in adults, whereas recurrence may follow excision during skeletal growth. We report a case of a 19-year-old girl with chronic weightbearing pain proximal to the base of the fifth metatarsal of her left foot. She first experienced exacerbated pain on increased loading when she started professional training as a shop assistant. Because several months of nonsurgical therapy failed, the decision was made to surgically excise the accessory bone from the peroneus brevis tendon via a longitudinal incision and a simple tendon-to-tendon reconstruction. Postoperative treatment consisted of using a walker to avoid weightbearing for 6 weeks, followed by a gradual return to full weightbearing as tolerated. At final follow-up, the patient was fully asymptomatic and was able to return to work. Citing this case, this article discusses differential diagnoses and treatment options for os vesalianum.",

keywords = "Journal Article",

author = "Beil, {Frank Timo} and Burghardt, {Rolf D} and Andre Strahl and Wolfgang Ruether and Andreas Niemeier",

year = "2017",

month = mar,

doi = "10.7547/15-160",

language = "English",

volume = "107",

pages = "162--165",

journal = "J AM PODIAT MED ASSN",

issn = "8750-7315",

publisher = "American Podiatric Medical Association",

number = "2",

}

RIS

TY - JOUR

T1 - Symptomatic Os Vesalianum - A Case Report and Review of the Literature

AU - Beil, Frank Timo

AU - Burghardt, Rolf D

AU - Strahl, Andre

AU - Ruether, Wolfgang

AU - Niemeier, Andreas

PY - 2017/3

Y1 - 2017/3

N2 - Os vesalianum is a rare accessory bone located proximal to the base of the fifth metatarsal in the peroneus brevis tendon. It is a radiographic diagnosis and mostly an asymptomatic incidental finding with a reported prevalence of 0.1% to 0.9%. Only 11 symptomatic cases have been described in the literature. Surgical therapy has been reported with good outcome in adults, whereas recurrence may follow excision during skeletal growth. We report a case of a 19-year-old girl with chronic weightbearing pain proximal to the base of the fifth metatarsal of her left foot. She first experienced exacerbated pain on increased loading when she started professional training as a shop assistant. Because several months of nonsurgical therapy failed, the decision was made to surgically excise the accessory bone from the peroneus brevis tendon via a longitudinal incision and a simple tendon-to-tendon reconstruction. Postoperative treatment consisted of using a walker to avoid weightbearing for 6 weeks, followed by a gradual return to full weightbearing as tolerated. At final follow-up, the patient was fully asymptomatic and was able to return to work. Citing this case, this article discusses differential diagnoses and treatment options for os vesalianum.

AB - Os vesalianum is a rare accessory bone located proximal to the base of the fifth metatarsal in the peroneus brevis tendon. It is a radiographic diagnosis and mostly an asymptomatic incidental finding with a reported prevalence of 0.1% to 0.9%. Only 11 symptomatic cases have been described in the literature. Surgical therapy has been reported with good outcome in adults, whereas recurrence may follow excision during skeletal growth. We report a case of a 19-year-old girl with chronic weightbearing pain proximal to the base of the fifth metatarsal of her left foot. She first experienced exacerbated pain on increased loading when she started professional training as a shop assistant. Because several months of nonsurgical therapy failed, the decision was made to surgically excise the accessory bone from the peroneus brevis tendon via a longitudinal incision and a simple tendon-to-tendon reconstruction. Postoperative treatment consisted of using a walker to avoid weightbearing for 6 weeks, followed by a gradual return to full weightbearing as tolerated. At final follow-up, the patient was fully asymptomatic and was able to return to work. Citing this case, this article discusses differential diagnoses and treatment options for os vesalianum.

KW - Journal Article

U2 - 10.7547/15-160

DO - 10.7547/15-160

M3 - SCORING: Journal article

C2 - 28394679

VL - 107

SP - 162

EP - 165

JO - J AM PODIAT MED ASSN

JF - J AM PODIAT MED ASSN

SN - 8750-7315

IS - 2

ER -