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A 28-year-old male asked:

ct scan"comminuted fracture is seen within right medial cuniform bone with sliglhty displaced cortical bony fragment laterally" surgery or cast? why .

3 doctor answers4 doctors weighed in
Dr. Brian Badman
Orthopedic Surgery 25 years experience
Need films: Can't answer this without seeing films and previously answered that if nondisplaced or minimally displaced probably ok with cast but depends on joint involvement, etc.
Dr. Michael Ginsburg
Interventional Radiology 12 years experience
Orthopedic consult: Displaced cuneiform fractures often require an open reduction and internal fixation with screws. This is due to tarsometarsal joint instability. Additional important considerations include - intra-articular vs extra-articular and plane of the fracture. Isolated cuneiform fractures are rare and more likely to happen in association with metatarsal injuries. You need to consult an orthopedic surgeon!
Dr. Darrell Latva
Podiatry 42 years experience
MAYBE: If severely comminuted, could result in collapse of medial column. If not, maybe can get away w/ a cast.

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Last updated Nov 28, 2017

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