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 answers • 4 doctors weighed in
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.
5146 viewsAnswered >2 years ago
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!
5146 viewsReviewed >2 years ago
Podiatry 42 years experience
MAYBE: If severely comminuted, could result in collapse of medial column. If not, maybe can get away w/ a cast.
1037 viewsAnswered >2 years ago
Last updated Nov 28, 2017
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