Cuneiform Fracture S92.223A 825.24

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

Cuneiform Fracture ICD-10

• S92.223A : Displaced fracture of lateral cuneiform of unspecified foot, initial encounter for closed fracture
• S92.226A : Nondisplaced fracture of lateral cuneiform of unspecified foot, initial encounter for closed fracture
• S92.233A : Displaced fracture of intermediate cuneiform of unspecified foot, initial encounter for closed fracture
• S92.236A : Nondisplaced fracture of intermediate cuneiform of unspecified foot, initial encounter for closed fracture
• S92.243A : Displaced fracture of medial cuneiform of unspecified foot, initial encounter for closed fracture
• S92.246A : Nondisplaced fracture of medial cuneiform of unspecified foot, initial encounter for closed fracture
• See all Cuneiform fracture ICD-10 codes

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

• Nonuion
• Infection
• Painful hardware
• Compartment Syndrome
• CRPS
• DVT / PE
• Heterotopic Ossification

Cuneiform Fracture Follow-up Care

Cuneiform Fracture Review References