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Three floating metatarsals and a half-floating cuneiform.

Sandesh Madi1, Sandeep Vijayan1, Monappa Naik1

  • 1Kasturba Medical College, Manipal University, Manipal, Karnataka, India.

BMJ Case Reports
|October 11, 2015
PubMed
Summary
This summary is machine-generated.

Floating metatarsals, a rare foot trauma, involve dislocations at both ends. This study highlights the extreme rarity of combined floating metatarsals and inter-cuneiform diastasis injuries.

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Area of Science:

  • Orthopedics
  • Traumatology
  • Podiatric Medicine

Background:

  • Floating metatarsals are rare foot trauma injuries characterized by dislocations at both articular ends.
  • These injuries are exceptionally uncommon, with only 15 cases reported in English literature since 1964.
  • The first metatarsal is more frequently affected than lesser metatarsals.

Observation:

  • Inter-cuneiform diastasis is another rare condition, often resulting from low-velocity or sports-related injuries.
  • This specific injury pattern is notoriously difficult to diagnose both clinically and radiologically.
  • The simultaneous occurrence of floating metatarsals and inter-cuneiform diastasis is exceedingly rare.

Findings:

  • This case report details a unique combination of two rare foot injuries: floating metatarsals and inter-cuneiform diastasis.
  • The rarity of each condition individually makes their co-occurrence a significant clinical observation.
  • The study emphasizes the diagnostic challenges associated with these complex foot trauma patterns.

Implications:

  • Highlights the need for heightened clinical suspicion and advanced imaging in diagnosing complex foot trauma.
  • Contributes to the limited literature on combined rare foot injuries, aiding future research.
  • Informs orthopedic and trauma surgeons about the possibility and management of such unique injury combinations.