J Korean Foot Ankle Soc.  2019 Mar;23(1):39-41. 10.14193/jkfas.2019.23.1.39.

Isolated Dorsal Dislocation of Intermediate Cuneiform: A Case Report

• Lee DJ
• Choi JY
• Suh JS

• KMID: 2440584
• DOI: http://doi.org/10.14193/jkfas.2019.23.1.39

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.

Keyword

Intermediate cuneiform; Tarsal dislocation; Dorsal dislocation; Lisfranc injury

MeSH Terms

Dislocations*
Foot
Tarsal Bones

Figure

• 

  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.

Reference

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.