Dorsal Medial Cuneiform Bony Outgrowth—Apophysis or Exostosis: A Case Report. Issue 1 (January 2021)

• Record Type: Journal Article
• Authors: Malige, Ajith; Surrey, Lea F.; Davidson, Richard
• Is Part Of: JBJS case connector. Volume 11:Issue 1(2021)
• Publication Date: 2021-01
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00194
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Three female children (11-15 years) presented with painful dorsomedial medial cuneiform masses that did not improve after conservative treatment. Findings were consistent with a diagnosis of medial cuneiform apophysis. After surgical resection, no patients had recurrence, although one continued to have pain from a deep peroneal nerve sensory branch that was resected. One patient had an intramass physis identified. Conclusion: When surgically removing dorsomedial cuneiform masses, surgeons should decompress overlying sensory nerve branches, detach and subsequently repair muscular attachments, and remove the entire stump to prevent regrowth because some of these masses may be apophyses and not exostoses.