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[Isolated bilateral medial cuneiform fracture: a case report]
1Oddział Urazowo-Ortopedyczny Szpitala ZOZ MSWiA w Krakowie.
Przeglad Lekarski
|February 14, 2013
Summary
Bilateral medial cuneiform fractures are rare injuries, often missed on initial diagnosis. This case highlights the need for advanced imaging, like CT scans, for accurate diagnosis and effective conservative treatment of midfoot fractures.
Area of Science:
- Orthopedic Surgery
- Radiology
- Trauma Care
Background:
- Midfoot fractures are typically associated with high-energy trauma and are often multifragmented.
- Isolated medial cuneiform fractures are exceptionally rare, with bilateral cases being virtually unreported in medical literature.
- Delayed or missed diagnosis of midfoot fractures can lead to suboptimal patient outcomes.
Observation:
- A 26-year-old woman presented with an undisplaced, isolated, bilateral medial cuneiform fracture following dancing trauma.
- Initial physical examination and plain X-rays were inconclusive, necessitating further investigation.
- Computed tomography (CT) was crucial for establishing the correct diagnosis.
Findings:
- The case demonstrates a rare instance of bilateral medial cuneiform fractures, even after low-energy trauma.
- Computed tomography proved essential for accurate visualization and diagnosis of the subtle fracture pattern.
- Prompt diagnosis enabled successful conservative management.
Implications:
- This case suggests that cuneiform bone fractures may be more prevalent than previously understood.
- Computed tomography should be considered in the diagnostic workup of midfoot injuries, even in low-energy trauma scenarios.
- Early and accurate diagnosis is vital for appropriate treatment and favorable prognosis in midfoot fractures.
