The authors present two unusual cases of isolated medial cuneiform fracture. Both fractures were difficult to see on plain films and therefore diagnosed with ancillary tests (computed tomography and magnetic resonance imaging). Treatment was nonweightbearing cast immobilization, in which both patients healed within twelve weeks of treatment without complication and returned to full work related activities.
Get full access to this article
View all access options for this article.
References
1.
BrownD.C.McFarlandG.B.Jr.: Dislocation of the medial cuneiform bone in tarsometatarsal fracture-dislocation. J. Bone Joint Surg., 57A: 858–859, 1975.
2.
BryantM.J.St BairdD.: A case of non-union of the medial cuneiform. Injury, 24: 207–208, 1993.
3.
CainP.R.SeligsonD.: Lis Franc's fracture dislocation with intercuneiform dislocation: Presentation of two cases and a plan for treatment. Foot and Ankle, 2: 156, 1981.
4.
CompsonJ.P.: An irreducible medial cuneiform fracture-dislocation. Injury, 23: 501–502, 1992.
5.
DeLeeJ.: Fractures and dislocations of the foot. In MannR. (ed.) Surgery of the Foot and Ankle ed. St. Louis, C. V. Mosby, 1993, pp. 1439–1703.
6.
DellacorteM.P.LinP.J.GrisafiP.J.: Bilateral bipartite medial cuneiform: a case report. J. Am. Pod. Med. Assoc., 82: 475–478, 1992.
7.
GiannestrasN.J.: Foot disorders: Medical and surgical managementEd. 2. Philadelphia, Lea & Febiger, 1976.
8.
GoldmanF.: Fractures of the midfoot. Clin. Podiatry, 2: 259–285, 1985.
9.
Gopal KrishmanS.: Dislocation of medial cuneiform in injuries of tarsometatarsal joints. Int. Surg., 58: 805–806, 1973.
10.
HeckC.V.: Fractures of the bones of the foot. Surg. Clin. North Am., 45: 103, 1965.
11.
LevineB.P.StoppacherR.KristiansenT.K.: Plantar lateral dislocation of the medial cuneiform: a case report. Foot Ankle Int., 19: 118–119, 1998.
12.
LynchJ.R.Jr.CoopersteinL.A.DiGioiaA.M.: Plantar medial subluxation of the medial cuneiform: case report of an uncommon variant of the Lisfranc injury. Foot Ankle Int., 16: 299–301, 1995.
13.
O'NealM.L.GaneyT.M.OgdenJ.A.: Fracture of a bipartite medial cuneiform synchondrosis. Foot Ankle Int., 16: 37–40, 1995.
14.
PattersonR.H.PetersonD.CunninghamR.: Isolated fracture of the medial cuneiform. J. Orthop. Trauma, 7: 94–95, 1993.
15.
SangeorzanB.J.MayoK.A.HansenS.T.: Intraarticular fractures of the foot: talus and lesser tarsals. Clin. Orthop. Rel. Res., 292: 135–141, 1993.
16.
SchillerM.G.RayR.D.: Isolated dislocation of the medial cuneiform bone: A rare injury of the tarsus. J. Bone Joint Surg., 52A: 1632, 1970.
17.
WilsonP.D.: Fractures and dislocations of the tarsal bones. South. Med. J., 26: 833, 1933.
18.
YamashitaF.SakakidaK.HaraK.SenpoK.: Diastasis between the medial and the intermediate cuneiforms. J. Bone Joint Surg., 75B: 156–157, 1993.