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An uncommon midfoot injury, naviculocuneiform and calcaneocuboid fracture dislocation: a case report
Fuminori Kamakura1, Gaku Yasuda1, Yoshimasa Ishigaki1
1Department of Orthopedic Surgery, Fujimi-Kogen Hospital, Fujimi-Kogen Medical Center, Nagano, Japan.
Abstract:
A 57-year-old man fell from a height of 6 m and injured his right foot. Imaging studies showed an uncommon injury; naviculocuneiform and calcaneocuboid joint fracture dislocations. He underwent a temporary fixation with Kirschner wires (K-wires), and the injured foot was immobilized with a below-knee splint. Weight-bearing was started gradually. The K-wires were removed at 8 weeks. Full weight-bearing was achieved 14 weeks after the operation. At 19 weeks, he returned to his carpentry job. At 1 year, he had no marked limitation of daily activities. Early recognition of these injuries is required to prevent persistent foot pain and long-term dysfunction.
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