Nutcracker Fracture

(redirected from Cuboid 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
References in periodicals archive ?
We cannot explain the cuboid fracture type that do not require internal fixation.
6/100000 in Edinburgh, and 50% of all midfoot fractures are cuboid fractures [1].
1) We present a unique case of a cuboid fracture in a dancer who ironically sustained it while dancing in the holiday classic The Nutcracker.
CT clearly demonstrated a minimally displaced, comminuted cuboid fracture with articular extension into both the calcaneocuboid joint posteriorly and the cuboid-metatarsal joints anteriorly, with little to no articular incongruity (Fig.
She was then transitioned to an Aircast[R] boot; however, she was still advised to practice protected weightbearing due to the complex nature of the cuboid fracture and the injury to her lateral ligaments and syndesmosis.
Fortunately, our dancer exemplifies the possibility of a return to dance and full activity in the case of an isolated cuboid fracture and high-grade ankle sprain.
C, Axial plane of the foot, again, demonstrating comminuted cuboid fracture with distraction of fracture fragments.
Caption: Figure 5: Five month follow-up plain film radiograph demonstrating excellent healing of the cuboid fracture.
Therefore, the concomitant cuboid fracture in fourth and fifth TMT joints injuries may impact the options of the surgical method, since it is advised that shorten- ing of the cuboid Greater than 3mm or the displacement of the CMT Greater than 1mm should be treated surgically.