Pericuboid fracture-dislocation with cuboid subluxation

Area of Science:

• Orthopedic surgery
• Traumatology
• Foot and ankle biomechanics

Background:

• Pericuboid fracture-dislocation is a rare and complex foot injury.
• It involves disruption of multiple tarsal articulations, including the midtarsal, tarsometatarsal, and pericuboid joints.
• Accurate diagnosis and management are crucial for optimal functional recovery.

Observation:

• A 44-year-old male presented with a traumatic pericuboid fracture-dislocation.
• The injury involved partial dislocation of the cuboid without a concurrent fracture.
• Disruption extended to the midtarsal, tarsometatarsal, and pericuboid articulations.

Findings:

• Treatment involved open reduction and stable internal fixation of the disrupted articulations.
• A rehabilitation protocol emphasizing early range of motion and protected weight-bearing for 12 weeks was implemented.
• The patient achieved excellent functional outcomes at the final follow-up evaluation.

Implications:

• This case highlights the successful management of a severe foot injury through surgical intervention and structured rehabilitation.
• Early range of motion and protected weight-bearing appear to be effective strategies for optimizing recovery in such cases.
• Further research into standardized treatment protocols for pericuboid fracture-dislocations may improve patient outcomes.