Objectives: Symptomatic os vesalianum pedis (OVP), a small accessory bone located adjacent to the base of the 5th metatarsal of the foot, rarely affects individuals who participate in sports. The condition typically is treated with surgical intervention. This case report documents the examination, evaluation, and treatment approach for a professional soccer player treated conservatively with a symptomatic OVP. Methods: A nineteen-year-old professional soccer player presented with pain to the base of the left 5th metatarsal. Physical examination and imaging resulted in a diagnosis of a symptomatic OVP. The player underwent a 5-stage criterion-based rehabilitation program. Results: The player successfully completed a 7.5-week rehabilitation program that included a comprehensive return-to-play progression. The player received clearance for return to play and has continued to play professionally without restriction. Conclusion: This case report outlined the conservative management of a professional soccer player with OVP. It has provided guidance for the conservative treatment of a rare injury.

Author Bio(s)

Mario F Cruz, PT, DPT, SCS, ATC, is the head athletic trainer and physical therapist for the Atlanta United FC.

Lori A Bolgla, PT, PhD, MAcc, ATC, is a professor in the Department of Physical Therapy at Augusta University.

Ryan Alexander, PhD, is the sports performance director for the Atlanta United FC.

Peter J Symbas, MD, is the head team physician for the Atlanta United FC and an orthopedic surgeon with Piedmont Orthopedics/OrthoAtlanta.

Jeremy Royal, MD, is a musculoskeletal radiologist with Northside Radiology Associates.

Jordan Serrano-Dennis, MS, ATC, PES, is an assistant athletic trainer for the Atlanta United FC.





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