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Isolated Fracture-Dislocation of the Middle Cuneiform: Case Report of a Novel Intermediate Column Foot Injury
Abhishek Kothari1, Vikrant Kalamb2, Dhruv Gupta3
1Shri Anandpur Trust Charitable Hospital, Sukhpur, Madhya Pradesh, India.
Case:
Isolated tarsal bone injuries and in particular involving either of 3 cuneiforms is an absolute rarity. A 63-year-old man presented with isolated middle cuneiform fracture with dorsal dislocation of the fractured fragment following a relatively common injury but resulting in a unique presentation due to forefoot positioning affecting the injury mechanism.
Conclusion:
Prompt diagnosis with routine radiographs and definitive anatomical fixation can result in a pain-free outcome at 1-year follow-up. The paucity of literature and lack of definitive treatment guidelines made this a case worth sharing, for both its academic merits and treatment challenges.
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