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An isolated cuboid dislocation. A case report.

K Sheahan1, E Pomeroy1, T Bayer1

  • 1Midlands Regional Hospital, Tullamore, Co. Offaly, Ireland.

International Journal of Surgery Case Reports
|August 6, 2017
PubMed
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This summary is machine-generated.

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Isolated cuboid dislocations are rare but significant foot injuries. Key signs include lateral foot pain and difficulty weight-bearing, often requiring advanced imaging and surgical intervention for proper diagnosis and treatment.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Radiology

Background:

  • Isolated cuboid dislocations are uncommon injuries.
  • They can be misdiagnosed due to subtle clinical and imaging findings.
  • This injury is significant for surgical education and managing lateral foot pain.

Purpose of the Study:

  • To report a case of isolated cuboid dislocation in a rugby player.
  • To highlight the diagnostic challenges and management of this rare injury.
  • To emphasize the importance of recognizing this condition in the Emergency Department (E.D.).

Main Methods:

  • Presentation of a case report involving a 33-year-old male rugby player.
  • Detailed description of the patient's injury mechanism, symptoms, and initial presentation.
Keywords:
Case reportCuboidDislocationMidfoot

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  • Review of diagnostic imaging and treatment strategies.

    • Main Results:

    • The patient experienced significant lateral foot pain and inability to weight-bear post-injury.
    • Initial X-rays were inconclusive, necessitating further investigation.
    • Clinical findings included a palpable gap at the cuboid and difficulty with weight-bearing.

    Conclusions:

    • Isolated cuboid dislocations require high clinical suspicion, especially in cases of inversion/plantar flexion foot injuries.
    • CT scanning is crucial when initial X-rays are inconclusive.
    • Open reduction and internal fixation are often necessary for successful treatment.