Isolated dislocations of the middle cuneiform are uncommon. There have been four reported previously. Significant force is required to produce these injuries, and they can have serious neurovascular consequences. In this case report and review of the literature, we present an isolated middle cuneiform dislocation in a 69-year-old farmer with impending skin and soft tissue loss over the dislocated bone.
Get full access to this article
View all access options for this article.
References
1.
. ArntzC.T.VeithR.G.HansenS.T.: Fractures and fracture-dislocation of the tarsometatarsal joint. J Bone Joint Surg., 70A(2):173–181, 1988.
2.
. CainP.R.SeligsonD.: Lisfranc's fracture-dislocation with intercuneiform dislocation: presentation of two cases and a plan for treatment. Foot Ankle, 2:156–160, 1981.
3.
. ClarkD.F.QuintH.A.: Dislocation of a single cuneiform bone. J Bone Joint Surg., 15:237–239, 1933.
4.
. FaciszewskiT.BurksR.T.ManasterB.J.: Subtle injuries of the Lisfranc joint. J Bone Joint Surg., 72:1519–1522, 1990.
5.
. GissaneW.: A dangerous type of fracture of the foot. J Bone Joint Surg., 33B:535, 1951.
6.
. HardcastleP.H.ReschauerR.Kutscha-LissbergE.SchoffmannW.: Injuries to the tarsometatarsal joint: incidence, classification and treatment. J. Bone Joint Surg., 64B:349–356, 1982.
7.
. MannR.A.CoughlinM.C.: Surgery of the Foot and Ankle, Vol. 2. St. Louis, Mosby, 1993, pp. 1674–1694.
8.
. QuénuE.KüssG.: Étude sur les luxations du métatarse. Rev. Churg., 39:281–336, 1909.
9.
. SmithJ.S.KanatI.O.PuppG.PuppJ.: Fracture and dislocation of the middle cuneiform: a case report. J Am. Pod. Assoc., 74:406–410, 1984.
10.
. TountasA.A.: Occult fracture-subluxation of the midtarsal joint. Clin. Orthop. Rel. Res., 243:195–199, 1988.
11.
. VuoriJ.-P.AroH.T.: Lisfranc joint injuries: trauma mechanisms and associated injuries. J. Trauma, 35:40–45, 1993.
12.
. WargonC.A.GoldmanF.D.: Lisfranc fracture dislocation: a variation. J Am. Pod. Assoc., 76:466–468, 1986.
13.
. WileyJ.J.: The mechanism of tarso-metatarsal joint injuries. J. Bone Joint Surg., 53B:474–482, 1971.
