Traumatic plantar naviculocuneiform dislocation treated with closed reduction and temporary arthrodesis: A case report

Abstract

Backround: Traumatic naviculocuneiform dislocations are characterized by their rarity. This type of dislocation can be caused by either a low energy injury involving a severe abduction or torsion force applied to the plantar flexed foot or by a high energy injury. To date, only a limited number of cases have been documented with even fewer, in which such dislocations occur without any associated concomitant fracture. Case report: We report a case wherein a patient experienced a plantar dislocation of the medial cuneiform bone due to a direct trauma to the foot. The management involved closed reduction and temporary arthrodesis utilizing K-wires. Unfortunately, nine months postoperatively the patient remains symptomatic, experiencing pain after walking for more than 30 minutes. Conclusion: The best management of these rare injuries remains unclear. Whether an open reduction and primary arthrodesis as suggested elsewhere could be the key to a favorable outcome remains unclear. Further research on the long-term effects of the variable management methods is required to determine the best course of action in such patients.

Keywords

• Traumatic plantar naviculocuneiform dislocation
• Temporary naviculocuneiform arthrodesis