• S L Orozco-Villaseñor, E Turrubiates-Lucero, I Miguel-Andrés, F J Martínez-Rodríguez, E Mendoza-Bañuelos, R M Purata-Kury, and V M García-Romo.
• Hospital General de León. León, Guanajuato, México.
• Acta Ortop Mex. 2019 Jul 1; 33 (4): 256-260.

BackgroundsThe 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 ReportA 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.ResultsAfter 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.DiscussionAn 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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