4 doctors weighed in:

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

4 doctors weighed in

In brief: MAYBE

If severely comminuted, could result in collapse of medial column.
If not, maybe can get away w/ a cast.

In brief: MAYBE

If severely comminuted, could result in collapse of medial column.
If not, maybe can get away w/ a cast.
Dr. Darrell Latva
Dr. Darrell Latva
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Dr. Michael Ginsburg
Radiology - Interventional
1 doctor agrees

In brief: 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!

In brief: 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. Michael Ginsburg
Dr. Michael Ginsburg
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Dr. Brian Badman
Orthopedic Surgery

In brief: 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.

In brief: 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. Brian Badman
Dr. Brian Badman
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