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Complete medial dislocation of the first cuneiform: a case report.
Angel M Hidalgo-Ovejero1, Serafín García-Mata, Alberto Ilzarbe-Ibero
1Orthopaedics Department, Ubarmin Clinic and Virgen del Camino Hospital, Pamplona, Navarre, Spain. angel.hidalgo.ovejero@cfnavarra.es
Summary
Isolated first cuneiform bone dislocation is a rare foot injury. This case study details successful closed reduction and fixation, leading to a full recovery.
Area of Science:
- Orthopedic surgery
- Podiatric medicine
- Traumatology
Background:
- Isolated first cuneiform bone dislocation is an exceedingly rare injury.
- Diagnosis is typically achievable through standard plain radiography.
- Limited case reports exist in existing medical literature.
Observation:
- A patient sustained an isolated first cuneiform bone dislocation due to a torsion injury.
- The injury was diagnosed using plain radiography.
- Treatment involved closed reduction with specialized forceps and Kirschner wire fixation.
Findings:
- The patient underwent closed reduction and Kirschner wire fixation for the cuneiform dislocation.
- Post-procedure immobilization lasted for six weeks.
- The patient experienced an uneventful recovery with no residual symptoms at a 3-year follow-up.
Implications:
- This case highlights a successful management strategy for a rare foot injury.
- Prompt diagnosis and appropriate surgical intervention are crucial for favorable outcomes.
- Further case studies can enhance understanding and treatment protocols for similar rare orthopedic conditions.