Cuneiform fracture: Difference between revisions
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==Evaluation== | ==Evaluation== | ||
[[File:A Medial cuneiform fracture.png|thumb|Medial cuneiform fracture on plain x-ray.]] | |||
*Imaging: (weight-bearing AP, lateral, oblique) | *Imaging: (weight-bearing AP, lateral, oblique) | ||
**CT sometimes necessary | **CT sometimes necessary | ||
Latest revision as of 21:05, 22 March 2023
Background
- Navicular, cuboid, and cuneiform fractures are all diagnosed/managed in similar way
Clinical Features
- Foot pain
Differential Diagnosis
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Evaluation
- Imaging: (weight-bearing AP, lateral, oblique)
- CT sometimes necessary
Management
General Fracture Management
- Acute pain management
- Open fractures require immediate IV antibiotics and urgent surgical washout
- Neurovascular compromise from fracture requires emergent reduction and/or orthopedic intervention
- Consider risk for compartment syndrome
Immobilization
- Non-weight bearing
- Posterior Ankle Splint
Disposition
- Outpatient ortho referral