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Dislocation of the cuboid bone without fracture.
D T Gough1, D F Broderick, S J Januzik
1Department of Emergency Medicine, St Francis Medical Center, Peoria, Illinois 61637.
Annals of Emergency Medicine
|October 1, 1988
Summary
A man experienced a left foot and ankle injury, resulting in cuboid dislocation. Closed reduction and a seven-week walking cast successfully treated the injury, preventing further dislocation.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Traumatology
Background:
- Foot and ankle injuries are common, particularly in athletes.
- Inversion plantar flexion injuries can lead to various foot and ankle pathologies.
- Cuboid dislocation is a rare but significant injury requiring prompt diagnosis and management.
Observation:
- A 37-year-old male presented with acute left foot and ankle pain after an inversion plantar flexion injury.
- Clinical examination and imaging revealed a dislocation of the cuboid bone without any associated fractures.
- The injury mechanism involved a forceful inversion and plantar flexion of the foot.
Findings:
- The patient underwent successful closed reduction of the dislocated cuboid.
- Post-reduction, the foot and ankle were immobilized in a walking cast for a duration of seven weeks.
- Radiographic and clinical follow-up confirmed successful union and stability of the cuboid bone.
Implications:
- Closed reduction is an effective treatment for isolated cuboid dislocation.
- Proper immobilization is crucial for successful recovery and prevention of recurrent instability.
- This case highlights the importance of considering cuboid dislocation in the differential diagnosis of severe foot and ankle sprains.