Isolated Dorsal Dislocation of Intermediate Cuneiform: A Case Report

Dong Joo Lee; Jun Young Choi; Jin Soo Suh

doi:10.14193/jkfas.2019.23.1.39

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Lee, Choi, and Suh: Isolated Dorsal Dislocation of Intermediate Cuneiform: A Case Report

Case Report

Journal of Korean Foot and Ankle Society 2019; 23(1): 39-41.

Published online: 18 March 2019

DOI: https://doi.org/10.14193/jkfas.2019.23.1.39

Isolated Dorsal Dislocation of Intermediate Cuneiform: A Case Report

Dong Joo Lee, Jun Young Choi, Jin Soo Suh

Department of Orthopedic Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

Corresponding Author: Jin Soo Suh. Department of Orthopedic Surgery, Inje University Ilsan Paik Hospital, 170 Juhwaro, Ilsanseo-gu, Goyang 10380, Korea. Tel: 82-31-910-7968, Fax: 82-31-910-7967, sjs0506@paik.ac.kr

Received 24 October 2018 Revised 19 November 2018 Accepted 10 December 2018

Korean Foot and Ankle Society

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

An isolated dislocation of the intermediate cuneiform bone is a rare midfoot injury. This paper reports a case of a 60 year old man who fell from a height with his foot in the plantar flexed position. An isolated dorsal dislocation of the intermediated cuneiform was confirmed. Good results were obtained after an open reduction and internal fixation with a Lisfranc screw and Kirschner wire.

Keywords: Intermediate cuneiform, Tarsal dislocation, Dorsal dislocation, Lisfranc injury

Figures and Tables

Figure 1

Anteroposterior view (A), oblique view (B), and lateral view (C) reveal the isolated dorsal dislocation of the intermediate cuneiform.

Figure 2

Coronal section (A) and three-dimensional reconstructive image (B) of computed tomography. Dorsal dislocation and volar communited fracture of the intermediate cuneiform are clearly presented.

Figure 3

A stable reduction was immediately obtained postoperatively.

Figure 4

At 6 months postoperative, fracture site was well maintained with complete bony union.

Notes

^{Financial support} None.

^{Conflict of interest} None.

References

1. Doshi D, Prabhu P, Bhattacharjee A. Dorsal dislocation of the intermediate cuneiform with fracture of the Lisfranc joint: a case report. J Foot Ankle Surg. 2008; 47:60–62.

2. Nishi H, Takao M, Uchio Y, Yamagami N. Isolated plantar dislocation of the intermediate cuneiform bone. A case report. J Bone Joint Surg Am. 2004; 86:1772–1777.

3. Aggarwal PK, Singh S, Kumar S. Isolated dorsal dislocation of the intermediate cunieform: a case report and review of the literature. Arch Orthop Trauma Surg. 2003; 123:252–253.

4. Clark DF, Quint HA. Dislocation of a single cuneiform bone. JBJS. 1933; 15:237–239.

5. Singh AP, Singh AP, Garg V, Garcha JS. Dislocation intermediate cuneiform with fracture medial cuneiform. J Orthop Case Rep. 2016; 6:32–34.

6. Guler F, Baz AB, Turan A, Kose O, Akalin S. Isolated medial cuneiform fractures: report of two cases and review of the literature. Foot Ankle Spec. 2011; 4:306–309.

7. Nashi M, Banerjee B. Isolated plantar dislocation of the middle cuneiform--a case report. Injury. 1997; 28:704–706.

8. Fujita M, Yamamoto H, Kariyama K, Yamakawa H. Isolated plantar dislocation of the middle cuneiform: a case report. J Orthop Sci. 2003; 8:875–877.

9. Verma A, Sharma VK, Batra S, Rohria MS. Neglected isolated plantar dislocation of middle cuneiform: a case report. BMC Musculoskelet Disord. 2007; 8:5.

10. McGlinchey JJ. Dislocation of the intermediate cuneiform bone. Injury. 1981; 12:501–502.

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ORCID iDs: Jin Soo Suh
https://orcid.org/0000-0002-6830-9149
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