Traumatic plantar naviculocuneiform dislocation treated with closed reduction and temporary arthrodesis: A case report

Backround Traumatic naviculocuneiform dislocations are characterized by their rarity. This type of dislocation can be caused by either a low energy injury involving a severe abduction or torsion force applied to the plantar flexed foot or by a high energy injury. To date, only a limited number of cases have been documented with even fewer, in which such dislocations occur without any associated concomitant fracture. Case report We report a case wherein a patient experienced a plantar dislocation of the medial cuneiform bone due to a direct trauma to the foot. The management involved closed reduction and temporary arthrodesis utilizing K-wires. Unfortunately, nine months postoperatively the patient remains symptomatic, experiencing pain after walking for more than 30 minutes. Conclusion The best management of these rare injuries remains unclear. Whether an open reduction and primary arthrodesis as suggested elsewhere could be the key to a favorable outcome remains unclear. Further research on the long-term effects of the variable management methods is required to determine the best course of action in such patients.