Plantar Fracture-Dislocation of the Intermediate Cuneiform: Case Report

Saxby, Terence S.; Sharp, Robert; Rosenfeld, Peter

doi:10.1177/107110070602700916

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…5 Mode of injuries are a fall into a manhole, 1 hammering of foot, 5 loading of a plantar flexed foot, 2 walking on a high heeled shoes and tripping 3 and fall of heavy weights directly on the foot. 8 In our case, the patient did not load his limb or the foot was not plantar flexed. An un-protected foot lying on the floor violently stamped from sideways is the cause of the dislocation in our case Fig.…”

Section: Discussionmentioning

confidence: 69%

“…but poor results with reduction and fixation in three cases reported in another study. 8 In another study when this plantar side intermediate cuneiform is excised the result is acceptable. 5 Mode of injuries are a fall into a manhole, 1 hammering of foot, 5 loading of a plantar flexed foot, 2 walking on a high heeled shoes and tripping 3 and fall of heavy weights directly on the foot.…”

Section: Discussionmentioning

confidence: 96%

“…Quite a few reports of isolated dislocations of middle cuneiform are there with dislocation of intermediate cuneiform being dorsal 1e4 or plantar. 5e8 All reported cases are usually single cases 1e7 except one report 8 and are mostly neglected. In dorsal Fig.…”

Section: Discussionmentioning

confidence: 99%

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An isolated middle cuneiform dislocation with a rare violence. Case report and literature review

Kumaravel¹,

Thangaraj²,

Sivasenthil

2014

Journal of Clinical Orthopaedics and Trauma

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Reduction CT scan a b s t r a c tObjective: To report how a case of isolated middle cuneiform dislocation is diagnosed mainly by suspicion and careful imaging. Clinical presentation and intervention:A 39-year-old male presented with localized foot pain after a sideways compression of the foot on ground. X-rays revealed an empty middle cuneiform site .CT confirmed the finding of an isolated middle cuneiform dislocation .He had operative reduction and stabilization, followed by a good foot function. Conclusion:The diagnosis of such an injury should be kept in mind in patients while examining the foot injuries in general. Imaging including CT scan of the foot is necessary to confirm the diagnosis and to plan for the surgical treatment. The case was presented to highlight the need to watch out for them and care for them at the earliest.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 96%

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An isolated middle cuneiform dislocation with a rare violence. Case report and literature review

Kumaravel¹,

Thangaraj²,

Sivasenthil

2014

Journal of Clinical Orthopaedics and Trauma

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“…Sagittal mobility of the lateral column provides the flexibility needed to walk on uneven ground. In addition, there are limited sliding and rotational movements of the bones during pronation and supination of the foot [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Plantar Dislocation of the Middle Cuneiform Bone With Medial Cuneiform Subluxation: A Case Report

Can,

Dincel

2023

Cureus

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The middle cuneiform is the keystone of the transverse arch and is located between the medial cuneiform and lateral cuneiforms. Isolated middle cuneiform plantar dislocations are rare injuries due to their shape and ligamentous structural connections. A 20-year-old female patient was admitted to the emergency service of another clinic after a 70 kg iron tractor piece fell on her foot 20 days before she was referred to our clinic. Conservative treatment with a short leg circular cast was applied, considering that there was a fracture in the cuneiforms on X-ray imaging. The patient, who was re-evaluated at the second-week follow-up, was referred to our hospital considering the complex injury of the cuneiforms. There was tenderness over the cuneiform in the physical examination. X-ray and computed tomography images of the patient revealed plantar dislocation of the middle cuneiform bone. with subluxation of the medial cuneiform. Open reduction and internal fixation were performed for the middle cuneiform. During the six-month follow-up, the patient had no complaints and was able to do routine work. No lucency or arthritic changes were observed in the X-ray at the 22-month control. Plantar middle cuneiform dislocations are rare and late diagnosis can lead to poor results. This case is presented to emphasize the importance of considering this rare injury and using advanced imaging studies when necessary, considering the mechanism of injury.

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“…3 From a literature review in PubMed, we found 23 articles about isolated fracturedislocations of the cuneiforms (medial, middle, lateral). Nine of these articles refer to isolated injuries of the medial cuneiform, 9,10,[12][13][14][15]19,22,26 10 of them to plantar fracture-dislocation of the middle cuneiform, 6,11,[16][17][18]20,21,[23][24][25] and the other 4 articles to fracture-dislocations of the lateral cuneiform. 4,5,7,8 From these 23 article, we have found only one article 7 about isolated dislocation, without a fracture, of the lateral cuneiform.…”

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confidence: 99%