A case report on bilateral avascular necrosis of the medical cuneiforms
Chew, J.T.; Low, C.K.; Mitra, A.K.
Annals of the Academy of Medicine Singapore 24(3): 453-454
1995
ISSN/ISBN: 0304-4602 PMID: 7574431 Document Number: 442275
Avascular necrosis rarely affects the cuneiform bones. The treatment has been mainly conservative and histological confirmation of osteonecrosis is therefore not available. The authors report a case of bilateral avascular necrosis of both medial cuneiforms with histological confirmation. The patient was treated operatively with decompression of intra-osseous pressure through multiple drill holes. Six weeks postoperatively, the symptoms subsided and radiographs showed reconstitution of both medial cuneiforms.