Medial Cuneiform Traumatic Fracture Dislocation: A Case Report and Literature Review

Amjad Ismail Ilyas^1*, Yasser Alsahafi¹, Mohammed Ahmed Al Sobeai² & Subhi Zino Alarki, M. K.³

¹Department of Orthopedic Surgery, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia
²Consultant, Foot and Ankle, Orthopedic Oncology and Lower limb reconstruction, Department of Orthopedic Surgery, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia
³MBBS, Sulaiman Alrajhi University, Saudi Arabia

Dr. Amjad Ismail Ilyas, Department of Orthopedic Surgery, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.

Keywords: Lisfranc’s Injury; Medial Cuneiform Dislocation; Fracture Dislocation of Medial Cuneiform; Kapandji Technique

Abstract

Introduction
The medial cuneiform articulates with the navicular and first metatarsal bone. Moreover, its significance comes from the attachment site for different ligaments. Isolated fracture dislocation of the medial cuneiform bone is rare.
Case Presentation
A 30 years old male, smoker, who works as a driver. He sustained a front collision, road traffic accident. Right foot swelling with a positive wrinkle sign had noticed. Right foot x-ray showed fracture and medial dislocation of the medial cuneiform.
Management and Outcome
Two trials of closed reduction were attempted in ER that were failed. Accordingly, the patient was admitted for analgesics, Ice packing and operative management after subsidence of the swelling after eight days from admission. Later on the same admission, closed reduction was achieved using Kapandji technique. Post-operatively, he was discharged with regular follow-up appointments at different time intervals. The patient showed marked improvement with regaining full range of motion and reported a generalized well-being.

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).