EURORAD ESR

Case 14062

Bipartite medial cuneiform: congenital variant in a patient with foot trauma. MRI findings

Author(s)
Napoli, A., Fernandez Mora, R., Chobadindegui, R., Constain, C., Martin, E., Bruno, C.

Diagnóstico por Imágenes Adrogué, Resonance; Bynnon 1433 B1846DWA Buenos Aires, Argentina; Email:augustonapoli@hotmail.com
 
Patient
male, 62 year(s)
 
 
  • Figure 1
    Complete Bipartite Medial Cuneiform

    Fig. 1: sagittal T1 (A) and FS FSE T2 (B) MR images show a complete bipartite medial cuneiform (arrow) with dorsal (d) and plantar (p) components. Note subcortical degenerative changes with osseous oedema (asterisk in...

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 2
    Complete Bipartite Medial Cuneiform

    Fig. 2: axial PD (A), T2 (B), T1 (C), and STIR (D). Complete bipartite medial cuneiform (large arrows), with degenerative changes (small arrows), osseous oedema (asterisk) and oedema in the subcutaneous tissue (dotted...

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 3
    "E" Sign

    Fig. 3: sagittal T1 showing dorsal and plantar segments forming the "E" sign.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
  • Figure 4
    Partial Bipartite Cuneiform

    Fig. 4: sagittal T1(A) and STIR(B), showing partial bipartite cuneiform. Note the clefts(arrowheads) and the two segments partially fused in the middle (arrow).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Congenital;
     
     
Fig. 1: sagittal T1 (A) and FS FSE T2 (B) MR images show a complete bipartite medial cuneiform (arrow) with dorsal (d) and plantar (p) components. Note subcortical degenerative changes with osseous oedema (asterisk in B).
 
Fig. 2: axial PD (A), T2 (B), T1 (C), and STIR (D). Complete bipartite medial cuneiform (large arrows), with degenerative changes (small arrows), osseous oedema (asterisk) and oedema in the subcutaneous tissue (dotted arrow).
 
Fig. 3: sagittal T1 showing dorsal and plantar segments forming the "E" sign.
 
Fig. 4: sagittal T1(A) and STIR(B), showing partial bipartite cuneiform. Note the clefts(arrowheads) and the two segments partially fused in the middle (arrow).
 
 
 
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