Abstract
Abstract
Objective: Isolated medial cuneiform fractures are extremely rare. In the literature, cases treated with conservative methods or screw fixation are reported. However, comminuted fractures, especially those involving multiple joint surfaces, have a poor prognosis in terms of post-traumatic arthritis and pain. In this case report, the outcomes of bridge plating for the treatment of a comminuted medial cuneiform fracture are presented.
Case: A 19-year-old male patient presented with a comminuted displaced medial cuneiform fracture and a non-displaced second metatarsal base fracture following a motor vehicle accident. He was treated with open reduction and bridge plating. After 1 year of follow-up, the patient had minimal symptoms, and there were no signs of post-traumatic arthritis.
Conclusion: Bridge plating can be an effective surgical technique for comminuted medial cuneiform fractures. However, implant failure in weight-bearing areas must be anticipated, and early removal may be necessary.
Keywords
Isolated medial cuneiform fracture Comminuted fracture Bridge plating Orthopedic trauma Medial cuneiform surgical treatment
References
- Choi JY, Lee DJ, Ngissah R, Nam BJ, Suh JS. Categorization of single cuneiform fractures and investigation of related injuries: A 10-year retrospective study. J Orthop Surg (Hong Kong). 2019; Sep Dec;27(3):2309499019866394. doi: 10.1177/2309499019866394. PMID: 31423910.
- 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; Oct;4(5):306-9. doi: 10.1177/1938640011416354. Epub 2011 Sep 16. PMID: 21926363.
- Mabry LM, Patti TN, Ross MD, Bleakley CM, Gisselman AS. Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies. J Am Podiatr Med Assoc. 2021; Jul 1;111(4):Article_12. doi: 10.7547/20-047. PMID: 34478529.
- Olson RC, Mendicino SS, Rockett MS. Isolated medial cuneiform fracture: review of the literature and report of two cases. Foot Ankle Int. 2000; Feb;21(2):150-3. doi: 10.1177/107110070002100210. PMID: 10694028.
- Eraslan A, Ozyurek S, Erol B, Ercan E. Isolated medial cuneiform fracture: a commonly missed fracture. BMJ Case Rep. 2013; May 22;2013:bcr2013010093. doi: 10.1136/bcr- 2013-010093. PMID: 23704470; PMCID: PMC3670069.
- Babu NS, Gambardella GV, Bowlby MA. Isolated Fracture of the Medial CuneiformA Case Report. J Am Podiatr Med Assoc. 2017; Sep;107(5):436-439. doi: 10.7547/16-013. PMID: 29077495.
- Kanemitsu M, Nakasa T, Shiraishi K, Ikuta Y, Adachi N. Nonunion of Isolated Medial Cuneiform Fracture Fixed With a Compression Screw and Compression Staple: A Case Report. Cureus. 2024; Apr 11;16(4):e58074. doi: 10.7759/cureus.58074. PMID: 38738155; PMCID: PMC11088484.
Abstract
Özet
Amaç: İzole medial küneiform kırığı oldukça nadir görülen bir olgudur. Literatürde konservatif veya vida tespiti ile tedavi edilen olgular mevcuttur. Ancak parçalı kırıklar, özellikle çoklu eklem yüzü içerdikleri için, posttravmatik artroz ve ağrı açısından kötü prognoza sahiptirler. Bu olgu sunumunda, parçalı medial küneiform kırığı tedavisinde köprü plaklama tekniği kullanılarak elde edilen sonuçlar sunulmaktadır.
Olgu: 19 yaşında erkek hasta, araç dışı trafik kazası sonrası sağ ayakta medial küneiform çok parçalı kırık ve 2. metatars bazisinde nondeplase kırıkla başvurdu. Açık redüksiyon ve köprü plaklama ile tedavi edildi. 1 yıllık takipte hastada minimal semptomlar mevcuttu ve posttravmatik artroz bulgusu izlenmedi.
Sonuç: Parçalı medial küneiform kırıklarının cerrahi tedavisinde geçici köprü plaklama etkili bir yöntem olabilir. Ancak yük taşıyan bölgelerde implant yetmezliği göz önünde bulundurulmalı ve erken çıkarılması planlanmalıdır.
Keywords
İzole medial küneiform kırığı Parçalı kırık Köprü plaklama Ortopedik travma Medial küneiform cerrahi tedavi
References
- Choi JY, Lee DJ, Ngissah R, Nam BJ, Suh JS. Categorization of single cuneiform fractures and investigation of related injuries: A 10-year retrospective study. J Orthop Surg (Hong Kong). 2019; Sep Dec;27(3):2309499019866394. doi: 10.1177/2309499019866394. PMID: 31423910.
- 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; Oct;4(5):306-9. doi: 10.1177/1938640011416354. Epub 2011 Sep 16. PMID: 21926363.
- Mabry LM, Patti TN, Ross MD, Bleakley CM, Gisselman AS. Isolated Medial Cuneiform Fractures: A Systematic Search and Qualitative Analysis of Case Studies. J Am Podiatr Med Assoc. 2021; Jul 1;111(4):Article_12. doi: 10.7547/20-047. PMID: 34478529.
- Olson RC, Mendicino SS, Rockett MS. Isolated medial cuneiform fracture: review of the literature and report of two cases. Foot Ankle Int. 2000; Feb;21(2):150-3. doi: 10.1177/107110070002100210. PMID: 10694028.
- Eraslan A, Ozyurek S, Erol B, Ercan E. Isolated medial cuneiform fracture: a commonly missed fracture. BMJ Case Rep. 2013; May 22;2013:bcr2013010093. doi: 10.1136/bcr- 2013-010093. PMID: 23704470; PMCID: PMC3670069.
- Babu NS, Gambardella GV, Bowlby MA. Isolated Fracture of the Medial CuneiformA Case Report. J Am Podiatr Med Assoc. 2017; Sep;107(5):436-439. doi: 10.7547/16-013. PMID: 29077495.
- Kanemitsu M, Nakasa T, Shiraishi K, Ikuta Y, Adachi N. Nonunion of Isolated Medial Cuneiform Fracture Fixed With a Compression Screw and Compression Staple: A Case Report. Cureus. 2024; Apr 11;16(4):e58074. doi: 10.7759/cureus.58074. PMID: 38738155; PMCID: PMC11088484.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Orthopaedics |
| Journal Section | Case Report / Case Series |
| Authors | |
| Publication Date | December 20, 2024 |
| Submission Date | November 1, 2024 |
| Acceptance Date | November 29, 2024 |
| Published in Issue | Year 2024 Volume: 4 Issue: 3 |
e-ISSN: 2791-9935