Os Vesalianum
Description
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![Plain radiograph (AP and lateral oblique) of the left foot reveals the presence of the os vesalianum pedis articulating with both the base of the fifth metatarsal and the cuboid bone[1]](/w/images/thumb/8/8e/Os_Vesalianum_pedis_xray.jpeg/116px-Os_Vesalianum_pedis_xray.jpeg)
Plain radiograph (AP and lateral oblique) of the left foot reveals the presence of the os vesalianum pedis articulating with both the base of the fifth metatarsal and the cuboid bone[1] -
![Bilateral case os vesalianum observed in a male individual[2]](/w/images/thumb/b/b2/Os_Vesalianum_bone_anatomy.jpeg/120px-Os_Vesalianum_bone_anatomy.jpeg)
Bilateral case os vesalianum observed in a male individual[2] -
![Os vasalianum of the right foot was initially confused for a fifth metatarsal fracture[3]](/w/images/thumb/c/c3/Xray_Os_Vesalianum.jpeg/120px-Xray_Os_Vesalianum.jpeg)
Os vasalianum of the right foot was initially confused for a fifth metatarsal fracture[3] -
![Accessory bones: Os Intermetatarseum, Os Supranaviculare, Os Naviculare, Os Supratalare, Os Vesalianum, Os Peroneum, Os Calcaneus Secundarium, Os Trigonum[4]](/w/images/thumb/3/3d/Accessory_bones_of_the_foot.jpeg/120px-Accessory_bones_of_the_foot.jpeg)
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![Bilateral os vesalianum pedis[5]](/w/images/thumb/2/29/Os_Vesalianum_bilateral_xray.jpeg/120px-Os_Vesalianum_bilateral_xray.jpeg)
Bilateral os vesalianum pedis[5]
![Plain radiograph (AP and lateral oblique) of the left foot reveals the presence of the os vesalianum pedis articulating with both the base of the fifth metatarsal and the cuboid bone[1]](/File:Os_Vesalianum_pedis_xray.jpeg)
![Bilateral case os vesalianum observed in a male individual[2]](/File:Os_Vesalianum_bone_anatomy.jpeg)
![Os vasalianum of the right foot was initially confused for a fifth metatarsal fracture[3]](/File:Xray_Os_Vesalianum.jpeg)
![Accessory bones: Os Intermetatarseum, Os Supranaviculare, Os Naviculare, Os Supratalare, Os Vesalianum, Os Peroneum, Os Calcaneus Secundarium, Os Trigonum[4]](/File:Accessory_bones_of_the_foot.jpeg)
![Bilateral os vesalianum pedis[5]](/File:Os_Vesalianum_bilateral_xray.jpeg)
Name
- Os Vesalianum
- Os Vesalianum Pedis
- Vesalian ossicle
- Vesalian bone
- Accessory ossicle of the fifth metatarsal
- Peroneus brevis accessory ossicle
- Accessory ossification center of the fifth metatarsal base
- Type II accessory bone of the fifth metatarsal
General
- Os Vesalianum is an accessory ossicle of the foot
- Rarely symptomatic causing lateral foot pain
- One of the accessory bones of the foot and ankle
Gross Anatomy
- Located proximal to the base of the fifth metatarsal
- Found within the peroneus brevis tendon
- May articulate with the cuboid
- Forms as a result of failed fusion of the secondary ossification center of the metatarsal
Epidemiology
- Prevalence estimated to be 0.1 to 1%[9]
Imaging
- Best seen on oblique radiograph of the foot
Pathology
- Rarely a source of pathology
- Condition similar to os peroneum syndrome has been described[10]
- Differential diagnosis would include fifth metatarsal fracture
Clinical Significance
- Os Vesalianum Syndrome
See Also
References
- ↑ Mousafeiris, Vasileios K., et al. "Os vesalianum pedis in a young adult: a case report and literature review." Cureus 13.5 (2021).
- ↑ Silva, Ana Maria, and Francisco Curate. "Accessory foot bones in a Portuguese identified skeletal collection." Scientific Reports 14.1 (2024): 17169.
- ↑ Mathew, Ashish Jacob, et al. "Red Herring in Orthopedics: A Case Report on Painful Os Vesalianum Pedis Masquerading as an Avulsion Fracture of 5th Metatarsal and Review of Literature." Journal of Orthopaedic Case Reports 13.6 (2023): 74.
- ↑ Osiowski, Aleksander, et al. "The prevalence and clinical considerations of Os Vesalianum Pedis: A meta-analysis." Foot and Ankle Surgery (2025).
- ↑ Dorrestijn, Oscar, and Reinoud W. Brouwer. "Bilateral symptomatic os vesalianum pedis: a case report." The Journal of foot and ankle surgery 50.4 (2011): 473-475.
- ↑ Case courtesy of Henry Knipe, Radiopaedia.org, rID: 31148
- ↑ Petrera, Massimo, Tim Dwyer, and Darrell J. Ogilvie-Harris. "A rare cause of foot pain with golf swing: symptomatic os vesalianum pedis—a case report." Sports Health 5.4 (2013): 357-359.
- ↑ Silva, Ana Maria, and Francisco Curate. "Accessory foot bones in a Portuguese identified skeletal collection." Scientific Reports 14.1 (2024): 17169.
- ↑ Boya, Hakan, et al. "Os vesalianum pedis." Journal of the American Podiatric Medical Association 95.6 (2005): 583-585.
- ↑ Wilson, Thomas C., Richard C. Wilson, and Kaloian G. Ouzounov. "The symptomatic os vesalianum as an uncommon cause of lateral foot pain: a case report." Journal of the American Podiatric Medical Association 101.4 (2011): 356-359.