Presentation
Painful feet
Patient Data
Age: 80 years
Gender: Female
From the case:
Os vesalianum pedis
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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.
From the case:
Os vesalianum pedis
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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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