Medial cuneiform fracture

Dr Daniel J Bell et al.

Isolated medial cuneiform fractures are rare, and fractures of the medial cuneiform are more commonly seen in combination with other fractures of the foot. 

Most commonly, fractures of the cuneiform bones occur in combination with other fracture-dislocations of the midfoot 3. When in combination with other fractures, the medial cuneiform is more commonly fractured than the intermediate or lateral cuneiforms. In one retrospective study of a single University hospital, over a ten-year-period, 30 cases of cuneiform fractures were identified, of which two-thirds were of the medial cuneiform 1.

True isolated fractures of the cuneiform bones are rare, accounting for only 1.7% of all midfoot fractures 3,5. Only one case of bilateral synchronous isolated medial cuneiform fractures has been reported 6.

With regards to isolated fractures of the medial cuneiform, and based on the small number of cases in the literature, patients most commonly present after direct trauma 3. In some cases acute bruising and swelling were present in the tarsal region however this has not been an invariable finding 2.

Most patients will have plain radiography before cross-sectional imaging is performed and fractures of the medial cuneiform can be difficult to spot. 

Fractures

Article information

rID: 83972
Tag: cases
Synonyms or Alternate Spellings:
  • Medial cuneiform fracture
  • Isolated medial cuneiform fractures
  • Medial cuneiform fractures
  • Fracture of the medial cuneiform bone
  • Fractures of the medial cuneiform bone

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1: isolated fracture
    Drag here to reorder.
  • Case 2: isolated fracture
    Drag here to reorder.
  • Updating… Please wait.

     Unable to process the form. Check for errors and try again.

     Thank you for updating your details.