Medical

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
Segen's Medical Dictionary. © 2012 Farlex, Inc. All rights reserved.
References in periodicals archive
note that "little has been published on the frequency, diagnosis or treatment of the nutcracker fracture in the pediatric population." Nutcracker cuboid injuries in children can be difficult to diagnose [11].
Zhou, "Nutcracker fracture of the cuboid: management and results," Acta Orthopaedica Belgica, vol.
Micheli, ""Nutcracker Fracture" in a Ballet Dancer Performing in The Nutcracker," Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science, vol.
Kaelin, "Cuboid nutcracker fracture due to horseback riding in children: case series and review of the literature," Journal of Pediatric Orthopaedics, vol.
Sunayama et al., "A Case Report of Isolated Cuboid Nutcracker Fracture," Case Reports in Orthopedics, vol.
Nutcracker fracture of the cuboid is a type of compression fracture that happens when severe abduction of the forefoot causes the cuboid to be caught between the base of the fourth and fifth metatarsals and the anterior surface of the calcaneus [3].
Based on these findings, we diagnosed the patient with an isolated nutcracker fracture of the cuboid and planned to perform an open reduction and bone grafting.
There are no clear criteria for surgery for a nutcracker fracture. Hermel and Gershon-Cohen [4] recommended operation for fractures with comminution or dislocation.
We report a very rare case of isolated nutcracker fracture of the cuboid.
Wu, "The nutcracker fracture of the cuboid in children: a case report," Foot & Ankle International, vol.
Fracture of the tarsal cuboid bone is commonly referred to as the "nutcracker fracture," owing to its mechanism of injury: an acute compression of the cuboid between the anterior process of the calcaneus and the base of the fourth and fifth metatarsals, "cracking" the cuboid as a nutcracker would a nut.
The nutcracker fracture of the cuboid by indirect violence.
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