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Nutcracker Fracture |
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Nutcracker Fracture A fracture that occurs with the forefoot everted on hindfoot pinching cuboid between anterior calcaneus and bases of 4th and 5th metatarsals DiffDx Navicular fracture, navicular stress fracture, Lisfranc fracture, talar head fracture Management Avulsions: one week of non-weight bearing, elevation followed by progressive weight bearing and functional rehab. Displaced and/or compression fracture: open reduction and internal fixation and possible bone grafting to prevent late painful arthritis Complications Stiffness, non-union, osteonecrosis, deformity, postraumatic arthritis; untreated displaced/compression fractures can lead to relative shortening of the lateral column, planus and abduction deformities of the midfoot and chronic pain Want to thank TFD for its existence? Tell a friend about us, add a link to this page, add the site to iGoogle, or visit the webmaster's page for free fun content. |
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