Harvard Medical School, Boston, Massachusetts.
Harvard Combined Orthopaedic Residency Program, Brigham and Women's Hospital, Boston, Massachusetts.
JBJS Case Connect. 2021 Apr 13;11(2):01709767-202106000-00022. doi: e20.00723.
A 70-year-old man sustained a traumatic injury to his right foot after falling from a 3-foot height. Imaging demonstrated a cuboid fracture with inferomedial dislocation and associated nondisplaced midfoot fractures. Treatment consisted of closed reduction and percutaneous pinning (CRPP) using Kirschner wire fixation. His postoperative recovery was uneventful with full return to activities.
Cuboid fracture-dislocations are exceedingly rare, and subsequently, there is a paucity of treatment recommendations in the literature. To the best of our knowledge, this is the first reported successful closed reduction with percutaneous pinning for a cuboid fracture with associated dislocation. CRPP is a potential treatment option for this injury.
一位 70 岁男性从 3 英尺高的地方摔下后右脚受到创伤。影像学显示,出现了跗骨骨折,伴有向内侧下方脱位,以及伴随的未移位的中足骨折。治疗方法为闭合复位和经皮克氏针固定(CRPP)。他的术后恢复顺利,活动完全恢复。
跗骨骨折脱位极为罕见,因此文献中治疗建议很少。据我们所知,这是首例报道的成功闭合复位经皮克氏针固定治疗伴有脱位的跗骨骨折。CRPP 是这种损伤的一种潜在治疗选择。