Symptomatic bipartite medial cuneiform after injury: a case report

We present the case of a 23 year old professional rugby player with bipartition of the medial cuneiform, which became symptomatic following a rugby injury. Both plain radiographs and MRI scanning failed to arrive at the correct diagnosis. CT scanning was, however, diagnostic. The gap in the cuneiform was injected with 40 mg of Depomedrone under CT guidance. The patient's symptoms resolved sufficiently to enable him to begin training within a few weeks. He has returned to professional rugby, and has had no further problems with his foot. This case demonstrates that the injection of steroid into the gap in the cuneiform appears to be an effective treatment for symptomatic bipartite medial cuneiform.