Levine B P, Stoppacher R, Kristiansen T K
University of Vermont, College of Medicine, Department of Orthopaedics and Rehabilitation, Burlington 05405-0084, USA.
Foot Ankle Int. 1998 Feb;19(2):118-9. doi: 10.1177/107110079801900213.
This case report describes an isolated plantar lateral dislocation of the medial cuneiform. We were able to find only one other similar case reported in the literature. That case had a delayed diagnosis of 5 months and with an associated an avulsion fracture of the second metatarsal base. Dines et al. reported an isolated dorsomedial dislocation at the medial cuneonavicular joint. An irreducible dorsomedial dislocation with the anterior tibialis tendon being trapped between the medial cuneiform and the navicular has been reported. A distal and lateral dislocation of the medial cuneiform was reported in association with displacement of the second to fourth metatarsal and medial fractures of the navicular and cuneiform. The current report differs from previous cases. There was not an associated fracture; the direction of the dislocation was unique and could be reduced closed.
本病例报告描述了内侧楔骨单纯的足底外侧脱位。我们在文献中仅能找到另一例类似病例。该病例诊断延迟了5个月，且伴有第二跖骨基底撕脱骨折。迪内斯等人报告了内侧楔骨-舟状骨关节单纯的背内侧脱位。曾有报告称存在不可复位的背内侧脱位，胫前肌腱被困于内侧楔骨和舟状骨之间。曾有报告称内侧楔骨向远端和外侧脱位，并伴有第二至第四跖骨移位以及舟状骨和楔骨的内侧骨折。本病例报告与之前的病例不同。没有合并骨折；脱位方向独特且可通过闭合手法复位。
