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Closed Reduction and Percutaneous Pinning in Isolated Cuboid Dislocation Management: A Case Report
Rachel A Loyst1, Frederick Hance1, Megan Paulus1
1Orthopedic Surgery, Stony Brook University, Stony Brook, USA.
Cureus
|December 19, 2023
Summary
Cuboid dislocations are rare midfoot injuries. This case study shows successful treatment with closed reduction and percutaneous pinning, enabling a patient
Area of Science:
- Orthopedic surgery
- Podiatric medicine
- Traumatology
Background:
- Cuboid dislocations are infrequent injuries, often associated with other midfoot trauma.
- Limited case reports exist, highlighting the rarity and diagnostic challenges of isolated cuboid dislocations.
Observation:
- A 41-year-old female presented with a 13-day history of left foot injury.
- Clinical examination revealed midfoot swelling, ecchymosis, and dimpling at the fourth/fifth tarsometatarsal (TMT) joint with dorsal subluxation.
Findings:
- A closed cuboid reduction with percutaneous pinning was performed 20 days post-injury.
- A 1.6 mm Kirschner wire stabilized the reduction across the TMT joint.
- At 10 weeks, radiographs showed maintained reduction and healing of associated navicular and fourth metatarsal base fractures.
Implications:
- Closed reduction and percutaneous pinning can be an effective treatment for cuboid dislocations.
- This approach facilitated a successful return to ambulation and work for the patient.
- Further research is needed to establish optimal treatment protocols for cuboid dislocations.
