Dislocation Intermediate Cuneiform with Fracture Medial Cuneiform.

Area of Science:

• Orthopedic surgery
• Podiatric medicine
• Traumatology

Background:

• Dislocation of the intermediate cuneiform bone is an exceptionally rare foot injury.
• Concurrent undisplaced medial cuneiform fractures have been documented only once previously.
• This case represents the first reported instance of intermediate cuneiform dislocation with a displaced medial cuneiform fracture.

Observation:

• A 43-year-old male sustained an intermediate cuneiform dislocation with a displaced medial cuneiform fracture following a road traffic accident.
• The injury involved complex fracture dislocation of the midfoot bones.

Findings:

• The patient was treated using a distractor device, a technique previously described only for navicular fracture dislocations.
• This method facilitated closed reduction, avoiding the need for open surgery.
• The treatment resulted in minimal complications and a favorable clinical outcome.

Implications:

• The application of a distractor technique for cuneiform fracture dislocation is novel, offering an alternative to traditional open reduction.
• This minimally invasive approach may be a viable option for similar rare injuries.
• The case contributes a new reduction method to the literature for managing complex cuneiform injuries.