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
References in periodicals archive ?
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.
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.
Gershon-Cohen, "The nutcracker fracture of the cuboid by indirect violence," Radiology, vol.