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January 12, 1918


Author Affiliations

Columbus, Ohio Fellow of the American College of Surgeons

JAMA. 1918;70(2):83-84. doi:10.1001/jama.1918.26010020001010a

Dislocation of the middle cuneiform bone occurs so rarely that instances of its occurrence should be reported. Its rarity adds to the difficulty of recognizing the condition; but unless it is recognized, impaired usefulness of the foot will result. Stimson1 was able to collect only seven instances of separate dislocations of the middle cuneiform bone, and eleven of fractures. All three cuneiform bones have been displaced together, and the second and third likewise.

March 2, 1917, V. G. E., aged 28, a railway conductor, while wearing a pair of heavy work shoes with extra thick, double soles, had his left foot run over by an empty dump car. The skin was not lacerated, but there was a bony protuberance on the dorsal surface, over the situation of the middle cuneiform. A diagnosis of dislocation of this bone was confirmed by roentgenoscopy. Failing to reduce the dislocation, first without an