title: Intercuneiform and Lisfranc Fracture-Dislocation Due to Seizure: A Case Report.
abstract: Cuneiform dislocation associated with Lisfranc injury is a very rare injury. Dislocation over the midfoot due to a seizure has not been previously reported in published studies. A 35-year-old female presented with an intercuneiform dislocation and Lisfranc fracture-dislocation after a generalized seizure. Immediate close reduction of the dorsally dislocated cuneiforms was performed, followed by definitive treatment to restore the foot arches. A proposed underlying pathophysiology of dislocation due to seizure in terms of the biomechanics is discussed. The purpose of our report was to present the unusual etiology of this form of cuneiform dislocation and Lisfranc joint complex injury.
authors.affiliation: Resident, Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital, Hong Kong, China. Electronic address: joshua.hlp@gmail.com.
authors.forename: Joshua L P
authors.initials: JL
authors.lastname: Hung
authors.affiliation: Chief Foot and Ankle Surgeon, Department of Orthopaedics and Traumatology, Tseung Kwan O Hospital, Hong Kong, China.
authors.forename: Samson C F
authors.initials: SC
authors.lastname: Chan
mesh_terms: D000328:Adult; D004829:Epilepsy, Generalized / Q000150:complications*; D005260:Female; D005529:Foot Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D000072039:Fracture Dislocation / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D013639:Tarsal Bones / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery
keywords: convulsion; diagnosis; tarsometatarsal joints; tibialis anterior