Medial cuneiform fracture

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

A heavy object fell on the patient's right foot.

Patient Data

Age: 31
Gender: Male

Right foot X-ray

x-ray

There is an oblique fracture line along the medial cuneiform bone. Remainder bone structures are unremarkable. 

Annotated images Rt foot X-ray

Annotated image

There is an oblique fracture line along the medial cuneiform bone (orange arrows).

Case Discussion

This case shows a midfoot isolated fracture: a medial cuneiform bone fracture. This is an uncommon fracture and, in this instance, was a direct result of a heavy object falling over and injuring this bone. 

Please refer to the article on foot radiograph approach article for a quick review of how to read this type of exam. 

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