title: Three floating metatarsals and a half-floating cuneiform.
abstract: Floating metatarsals are rare and complex injury patterns in the world of foot trauma. The injury is typically characterised by concomitant dislocations of the metatarsals from both articular ends ('bipolar dislocations'). Fascination arises from the fact that there have been only 15 cases reported in the English literature from 1964 to date. The first metatarsal has been more frequently reported than the lesser metatarsals. More than one floating metatarsal is also extremely uncommon. Inter-cuneiform diastasis is another rare entity seen in low velocity injuries and sports injuries; this condition is very difficult to diagnose clinically and radiologically. The occurrence of these two injury patterns in isolation is itself rare, making their combination even more unique.
authors.affiliation: Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Sandesh
authors.identifier: http://orcid.org/0000-0002-1891-0104
authors.initials: S
authors.lastname: Madi
authors.affiliation: Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Sandeep
authors.initials: S
authors.lastname: Vijayan
authors.affiliation: Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Monappa
authors.initials: M
authors.lastname: Naik
authors.affiliation: Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
authors.forename: Sharath
authors.initials: S
authors.lastname: Rao
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D018409:Foot Injuries / Q000150:complications*; D006801:Humans; D004204:Joint Dislocations / Q000601:surgery*; D008297:Male; D008682:Metatarsal Bones / Q000000981:diagnostic imaging* / Q000293:injuries*; D008683:Metatarsophalangeal Joint / Q000000981:diagnostic imaging* / Q000473:pathology; D011859:Radiography