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Os vesalianum pedis

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Painful feet

Patient Data

Age: 80 years
Gender: Female
x-ray

Mild hallux valgus deformity of the first metatarsophalangeal joint with overlapping sesamoids.

Mild degenerative change at the first metatarsophalangeal joint and proximal interphalangeal joints of the second to fifth metatarsals.

No erosive arthropathy or periarticular osteoporosis.

No destructive bony lesions seen. Os vesalianum and os naviculare noted.

Annotated image

Red arrow identifies location of os vesalianum.

Case Discussion

Os vesalianum is a rare accessory ossicle, much less common than an os peroneum or a non-united avulsion fracture of the 5th metatarsal styloid.

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