PMC5544476_01
X ray (A) and CT scan (B) showing an isolated inferomedial dislocation of the cuboid without fracture.
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Imaging (Fig. 1) revealed an inferomedial isolated cuboid displacement without concomitant fracture.
Pre-operative images showing swelling and bruising of (A) lateral and (B) medial aspects of the injured left foot.
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A CT scan was performed to provide pre-operative planning and to ensure there was no further pathology other than the isolate cuboid dislocation (Fig. 2).
(A) Lateral view of the lateral incision made over the calcaneocuboid joint and (B) Oblique view intraoperative fluoroscopy showing kirschner wire trans-fixation.
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He was given three doses of intravenous antibiotics 8 h apart (cefuroxime 750 mg), one dose of subcutaneous venous thromboembolic prophylaxis and discharged the following day (Fig. 3).
(A) Radiographs following removal of kirschner wires and (B) 12 weeks postoperatively.
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At six weeks postoperatively, the Kirschner wires were removed, under general anaesthesia, and the patient was encouraged to return to normal footwear (Fig. 4).