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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2019, Number 4

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Acta Ortop Mex 2019; 33 (4)

Exposed dislocation of the first and second cuneiform bones and fracture in situ of the third cuneiform bone of the foot: Clinical case and literature review

Orozco‑Villaseñor SL, Turrubiates‑Lucero E, Miguel-Andrés I, Martínez‑Rodríguez FJ, Mendoza‑Bañuelos E, Purata‑Kury RM, García‑Romo VM

Language: Spanish
References: 22
Page: 256-260
PDF size: 205.15 Kb.


ABSTRACT

Backgrounds: The isolated fracture/dislocation of the cuneiform bones is a not very frequent event and only a few cases have been reported in the literature. This type of event is presented as a variation of the Lisfranc injuries. The present report shows a rare clinical case of a patient with dislocation of the first and second cuneiform bones and fracture in situ of the third cuneiform bone of the left foot. Case report: A 49-year-old female patient presented severe traumatism of the dorsum of the foot with bony and soft tissue exposure as a result of a car accident. The patient underwent surgery in the emergency department consisting of surgical cleaning, debridement, reduction of dislocation of the first and second cuneiform bones and percutaneous fixation with 2.0 mm Kirschner wires. Results: After the surgery, the patient was found to be in good general condition, oriented without pain, stable, conscious, without traces of active bleeding from the wound and with the presence of Kirschner wires in an appropriate position. Discussion: An exhaustive inspection of the injury is recommended through the analysis of X-ray images, CT scans or magnetic resonance imaging, especially in unexposed lesions in order to apply the appropriate treatment and be able to achieve a prompt recovery of the patient.


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