To the Editor:

Abnormal foot bones can be observed as incidental radiographic findings and may have a congenital or developmental origin. Many asymptomatic accessory ossicles can also exist in the foot. We present a case of a fifth metatarsal with an abnormal tuberosity demonstrating unique features similar to those of os vesalianum pedis.

A 52-year-old woman presented to the outpatient clinic of Orthopedics and Traumatology, Baskent University, Zübeyde Hanim Hospital, Izmir, Turkey, with the complaint of left heel pain. There was no history of trauma, and a detailed physical examination revealed a normal foot and ankle with mild tenderness at the sole of the rearfoot. A lateral oblique radiograph showed an abnormal tuberosity of the fifth metatarsal (Fig. 1). The tuberosity was unusually long, and there was a distinct articulation between the tuberosity and the lateral aspect of the cuboid bone. The same radiographic findings were observed in the asymptomatic...

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