A 17-year-old man fell from a height of 10 m onto his right forefoot and sustained ipsilateral calcaneal, comminuted cuboid, and second, third, and fourth metatarsal neck fractures and first metatarsophalangeal joint open dislocation. This report discusses this rare injury. The authors believe that initial debridement with immediate surgical fixation and reduction with appropriate antibiotic treatment saved the patient’s extremity.
Gustilo RB, Anderson JTPrevention of infection in the treatment of one thousand and twenty-five open fractures of long bones: retrospective and prospective analyses. J Bone Joint Surg. 1976;58:453-458.
2.
Sánchez Alepuz E., Vicent Carsi V., Alcántara P., Llabrés AJFractures of the central metatarsal. Foot Ankle Int. 1996;17:200-203.
3.
Hoxie S., Turner NS III, Stirickland J., Jacofsky D.Clinical course of open metatarsal fractures. Orthopaedics . 2007;30:662.
4.
Maxwell JROpen or closed treatment of metatarsal fractures: indications and techniques . J Am Podiatry Assoc. 1983;73:100-106.
5.
Lawrence SJ, Grau GFOpen fractures of the calcaneus: soft-tissue injury determines outcome. J Bone Joint Surg Am. 2004;86:2568-2569.
6.
Heier KA, Infante AF, Walling AK, Sanders RWOpen fractures of the calcaneus: soft-tissue injury determines outcome. J Bone Joint Surg Am. 2003; 85:2276-2282.
7.
Hussain A.Dislocation of the first metatarsophalangeal joint with fracture of fibular sesamoid. Clin Orthop Relat Res. 1999;359:209-212.
8.
Hermel MB, Gershon-Cohen J.The nut-cracker fracture of the cuboid by indirect violence. Radiology. 1953;60:850-854.
9.
Makwanaa NK, van Lieflandb MRInjuries of the midfoot. Curr Orthop. 2005 ;19:231-242.