Abstract
Isolated dislocation of the medial cuneiform is a rare injury. A favorable outcome
relies on an accurate and stable reduction. Evidence of residual instability can be
subtle. We present 1 such injury whose true extent was not fully appreciated at presentation,
despite multiple plain films. Occult fracture of the medial cuneiform contributed
to residual instability of the first ray and persistent and progressive symptoms and
ultimately necessitated operative stabilization of the medial arch. We recommend the
use of computed tomography as an adjunct to plain radiography for all midfoot dislocations
to more accurately define the extent of the injury.
Level of Clinical Evidence
Keywords
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References
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Article info
Publication history
Published online: July 23, 2012
Footnotes
Financial Disclosure: None reported.
Conflict of Interest: None reported.
Identification
Copyright
© 2012 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.
