Roy Mohan Nikhil, Dominic Dobson
Department of Sports Medicine, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Chennai, IND.
Cureus. 2024 Sep 1;16(9):e68411. doi: 10.7759/cureus.68411. eCollection 2024 Sep.
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.
足 Vesal 骨（OVP）是紧邻足部第五跖骨基底部的一种精致的副骨。尽管大多数 OVP 病例无症状，但仅有少数出现足外侧疼痛的患者被报道过。一名 36 岁的职业羽毛球运动员右足跖骨基底部出现肿胀和压痛。最初的影像学检查显示为假琼斯骨折。由于持续疼痛以及对 OVP 的担忧，对 X 光片进行了重新评估。检查发现一条透亮线，边缘清晰且皮质完整，将右足的副骨与跖骨均匀分开，从而确诊为 OVP。诊断后，对该患者进行了保守治疗。足 Vesal 骨并非中足外侧疼痛的常见原因。斜位 X 光片是显示副骨的一种有效方法。因此，仔细的临床检查以及结合放射学检查结果是预防误诊和过度治疗的前提条件。
