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Isolated Fracture of the Medial Cuneiform

A Case Report

Nina S. Babu Department of Podiatry, Kaiser Foundation Hospital, Santa Rosa, CA.

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Gabriel V. Gambardella Department of Podiatry, Yale, Bloomfield, CT.

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Melinda A. Bowlby Department of Podiatry, Swedish Medical Center, Seattle, WA.

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An isolated medial cuneiform fracture is a rarely encountered injury of the foot. We present a case of an isolated medial cuneiform fracture in a patient after sustaining a fall from a 15-foot height. Treatment consisted of primary arthrodesis of the first tarsometatarsal joint due to a high degree of comminution and intra-articular pain. When radiographs are inconclusive and the index of suspicion remains high for a lesser tarsus fracture, computed tomography is recommended. In patients with minimal displacement, conservative treatment is usually successful in achieving osseous fusion. When the fracture is displaced, intra-articular, or comminuted, surgical intervention, including open reduction with internal fixation and primary arthrodesis, should be considered.

Corresponding author: Nina S. Babu, DPM, Department of Podiatry, Kaiser Foundation Hospital, 3925 Old Redwood Hwy, Stein Campus, Mob4, Santa Rosa, CA 95403. (E-mail: nsbabu@temple.edu)