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Cuneiform Fracture S92.223A 825.24

 
ICD-9 Classification / Treatment
Etiology / Natural History Associated Injuries / DDx
Anatomy Complications
Clinical Evaluation Follow-up Care
Xray / Diagnositc Tests Review References

synonyms:lateral cuneiform fracture, intermediate cuneiform fracture, middle cuneiform fracture, medial cuneiform fracture

Cuneiform Fracture ICD-10

Cuneiform Fracture ICD-9

  • 825.24 Closed Cuneiform Fracture
  • 825.34 Open Cuneiform Fracture

Cuneiform Fracture Etiology / Epidemiology / Natural History

  • Uncommon
  • Generally associated with metatarsal injuries.
  • Generally occur from axial load or direct crush

Cuneiform Fracture Anatomy

  • There are 3 cuneiforms  located in the medial midfoot.  Medial, middle and lateral. 
  • All three cuneiform bones articulate with the navicular proximally and a single metatarsal (MT) distally (medial=1st MT, middle=2nd MT; lateral=third MT. 
  • Lateral cuneiform articulates with the cuboid laterally.

Cuneiform Fracture Clinical Evaluation

  •  Pain and swelling in the midfoot.

Cuneiform Fracture Xray / Diagnositc Tests

  • AP, lateral and oblique weight bearing foot xrays generally demonstrate the fracture and associated injuries
  • CT

Cuneiform Fracture Classification / Treatment

  • Nondisplaced: short leg walking cast or cast-boot for 6-8 weeks.  
  • Displaced: ORIF

Cuneiform Fracture Associated Injuries / Differential Diagnosis

  •  

Cuneiform Fracture Complications

Cuneiform Fracture Follow-up Care

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Cuneiform Fracture Review References