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Isolated plantar dislocation of the middle cuneiform: a case report
Masaru Fujita1, Haruyasu Yamamoto, Kenji Kariyama
1Department of Orthopaedics Surgery, University of Ehime, Shitsukawa, Shigenobu-cho, Onsen-gun, Ehime 791-0295, Japan.
Summary
Isolated plantar dislocation of the cuneiform is a rare foot injury. This case highlights the importance of advanced imaging like computed tomography (CT) for diagnosing such tarsometatarsal injuries.
Area of Science:
- Orthopedic Surgery
- Podiatric Medicine
- Trauma Care
Background:
- Tarsometatarsal injuries, particularly isolated plantar dislocations of the cuneiform, are exceptionally rare in medical literature.
- Prompt diagnosis and management are crucial for optimal patient outcomes in foot trauma.
Observation:
- A 57-year-old male sustained an isolated plantar dislocation of the cuneiform.
- The injury occurred due to a direct impact from a large concrete block during a construction accident.
- This specific injury mechanism is uncommon for cuneiform dislocations.
Findings:
- The case presents a rare instance of isolated plantar cuneiform dislocation.
- Plain computed tomography (CT) and three-dimensional CT were instrumental in the diagnostic evaluation.
- Advanced imaging modalities are essential for identifying subtle tarsometatarsal injuries.
Implications:
- This case underscores the need for heightened clinical suspicion for tarsometatarsal injuries, even when seemingly minor.
- The utility of computed tomography (CT) in diagnosing complex foot and ankle trauma is reinforced.
- Accurate diagnosis through advanced imaging can prevent overlooked injuries and guide appropriate treatment strategies.