Orozco-Villaseñor S L, Turrubiates-Lucero E, Miguel-Andrés I, Martínez-Rodríguez F J, Mendoza-Bañuelos E, Purata-Kury R M, García-Romo V M
Hospital General de León. León, Guanajuato, México.
Servicio de Ortopedia y Traumatología del Hospital General de León. León, Guanajuato, México.
Acta Ortop Mex. 2019 Jul-Aug;33(4):256-260.
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.
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.
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.
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.
楔骨孤立性骨折/脱位是一种不太常见的情况，文献中仅报道了少数病例。此类情况表现为Lisfranc损伤的一种变异。本报告展示了一例罕见的临床病例，一名患者左脚第一和第二楔骨脱位，第三楔骨原位骨折。
一名49岁女性患者因车祸导致足部背侧严重创伤，伴有骨与软组织外露。患者在急诊科接受了手术，包括手术清创、复位第一和第二楔骨脱位以及用2.0毫米克氏针进行经皮固定。
术后，患者总体状况良好，意识清醒无疼痛，情况稳定，伤口无活动性出血迹象，克氏针位置合适。
建议通过分析X线图像、CT扫描或磁共振成像对损伤进行详尽检查，尤其是对于未外露的损伤，以便采取适当治疗并使患者能够迅速康复。
