Enfoque diagnóstico y manejo en fracturas cuneiformes. Revisión narrativa de la literatura.

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Bibliographic Details
Title:	Enfoque diagnóstico y manejo en fracturas cuneiformes. Revisión narrativa de la literatura.
Alternate Title:	Diagnostic approach and management in cuneiform fractures. Narrative review of the literature.
Authors:	Romero-Ante, J. M.^1,2 juanmaorto@hotmail.es, Abril-Botero, C.^1,3
Source:	Acta Ortopédica Mexicana. Nov/Dec2025, Vol. 39 Issue 6, p352-362. 11p.
Subjects:	SURGERY, TARSAL bones, WOUNDS & injuries, FOOT injuries, JOINT dislocations, MEDICAL rehabilitation, FRACTURE healing, THERAPEUTICS
Abstract (English):	Introduction: fractures and dislocations of the cuneiform bones represent a diagnostic and therapeutic challenge due to their low incidence and anatomical complexity. The objective of this work focuses on the clinical relevance of the Roman arch of the midfoot and its susceptibility to injuries from direct and indirect trauma. Materials and methods: a review of the literature was carried out by consulting the PUBMED, EMBASE, COCHRANE, in English, Spanish, and French databases, using the MeSH terms: «cuneiform», «fracture», «dislocation», «treatment», «surgery», «rehabilitation», «fixation», «biomechanics», «trauma», and «Lisfranc», a total of 69 articles were obtained, of which 10 were excluded because they were duplicates and one because the full text could not be obtained. for a total of 58 eligible items. Similarly, the search was extended to classic textbooks from June 1990 to June 2024, with no restrictions on the type of study. Results: a narrative review of the literature over the last 34 years is carried out, trying to synthesize the most important aspects in relation to anatomy, epidemiology, trauma mechanism, diagnostic images classification, treatment, and rehabilitation in the approach to cuneiform lesions. Conclusion: this narrative review allows us to conclude that early identification and anatomical reduction are critical to improve functional outcomes and prevent long-term complications, such as osteoarthritis and pseudoarthrosis. The weakness of our work lies in the lack of systematic review studies, cases and controls or large case series, available in the literature that allow us to establish management guidelines for this type of injury. [ABSTRACT FROM AUTHOR]
Abstract (Spanish):	Introducción: las fracturas y luxaciones de los huesos cuneiformes representan un desafío diagnóstico y terapéutico debido a su baja incidencia y complejidad anatómica. El objetivo de este trabajo se enfoca en la relevancia clínica del arco romano del mediopié y su sus-ceptibilidad a lesiones por traumas directos e indirectos. Material y métodos: se realizó una revisión de la bibliografía consultando las bases de datos PUBMED, EMBASE, COCHRANE, en inglés, español y francés, empleando los términos MeSH: «cuneiforme», «fractura», «luxación», «tratamiento», «cirugía», «rehabilitación», «fijación», «biomecánica», «trauma» y «Lisfranc». Se obtuvieron un total de 69 artículos, de los cuales se excluyeron 10 por estar duplicados y uno por no poder obtenerse el texto completo, para un total de 58 artículos elegibles. De igual forma, la búsqueda se extendió a libros de texto clásicos desde junio de 1990 hasta junio de 2024, sin restricciones respecto al tipo de estudio. Resultados: se lleva a cabo una revisión de tipo narrativo de la literatura a lo largo de los últimos 34 años, intentado lograr sintetizar los aspectos más importantes con relación a la anatomía, epidemiología, mecanismo de trauma, imágenes diagnósticas, clasificación, tratamiento y rehabilitación en el abordaje de las lesiones cuneiformes. Conclusión: la identificación temprana y la reducción anatómica son críticas para mejorar los resultados funcionales y prevenir complicaciones a largo plazo, como la artrosis y la pseudoartrosis. La debilidad de nuestro trabajo radica en la falta de estudios de revisión sistemática, casos y controles o grandes series de casos, disponibles en la literatura que permitan establecer guías de manejo en este tipo de lesiones. [ABSTRACT FROM AUTHOR]
	Copyright of Acta Ortopédica Mexicana is the property of Sociedad Mexicana de Ortopedia, AC and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database:	MedicLatina

Description
Abstract:	Introduction: fractures and dislocations of the cuneiform bones represent a diagnostic and therapeutic challenge due to their low incidence and anatomical complexity. The objective of this work focuses on the clinical relevance of the Roman arch of the midfoot and its susceptibility to injuries from direct and indirect trauma. Materials and methods: a review of the literature was carried out by consulting the PUBMED, EMBASE, COCHRANE, in English, Spanish, and French databases, using the MeSH terms: «cuneiform», «fracture», «dislocation», «treatment», «surgery», «rehabilitation», «fixation», «biomechanics», «trauma», and «Lisfranc», a total of 69 articles were obtained, of which 10 were excluded because they were duplicates and one because the full text could not be obtained. for a total of 58 eligible items. Similarly, the search was extended to classic textbooks from June 1990 to June 2024, with no restrictions on the type of study. Results: a narrative review of the literature over the last 34 years is carried out, trying to synthesize the most important aspects in relation to anatomy, epidemiology, trauma mechanism, diagnostic images classification, treatment, and rehabilitation in the approach to cuneiform lesions. Conclusion: this narrative review allows us to conclude that early identification and anatomical reduction are critical to improve functional outcomes and prevent long-term complications, such as osteoarthritis and pseudoarthrosis. The weakness of our work lies in the lack of systematic review studies, cases and controls or large case series, available in the literature that allow us to establish management guidelines for this type of injury. [ABSTRACT FROM AUTHOR]
ISSN:	23064102
DOI:	10.35366/121813