11/19/2023 0 Comments 5th metatarsal fracture child![]() Although they are successfully treated non-operatively without having adverse effects due to vague symptoms, they may initially not come to attention.Ĭuboid fractures are not always recognized promptly due to the special anatomy of the foot and the difficulty in interpreting the radiologic findings. They may also follow osteoporosis and reduced bone strength. These fractures may occur in both toddlers and adults and may be a result of overuse affecting athletes or military recruits. This injury is also described as a result of equestrian-related injuries in children and adolescents where compression cuboid fractures are combined with other midfoot injuries such as avulsion and compression navicular or cuneiform fractures.Ĭuboid stress fractures are less common than fractures in other tarsal bones such as calcaneus and navicular because the cuboid is not a weight-bearing bone. This fracture is the result of forced plantar flexion of the hindfoot and midfoot against the fixed and forced abduction forefoot. A particular type of isolated cuboid fracture was presented in the literature by Hermel and Gershon-Cohen in 1953 who coined the term “nutcracker fracture” in order to describe a cuboid fracture that is caused by compression between the calcaneus proximally and the bases of the fourth and fifth metatarsals distally. Such an injury is attributed to ankle sprain as a result of a twisting injury of the foot with the hindfoot inverted and the forefoot adducted. They may also be the result of avulsion injury involving any ligamentous attachments of the cuboid e.g., calcaneocuboid ligament. Their annual frequency reaches 1.00 in the United Kingdom and typically occur in combination with other midfoot fractures such as navicular or cuneiforms fractures or are associated with Lisfranc and Chopart fractures and dislocations.Ĭuboid fractures can be the result of bone injury due to compression after a car accident or direct crush of the lateral aspect of the dorsum of the foot as it may happen after a heavy object falls on the foot. In this review, an update on diagnosis and management of cuboid fractures is presented.Ĭuboid single fractures are rare due to the particular bone anatomy and the protected location of the midfoot. In the case of shortening of the lateral column > 3 mm or articular displacement > 1 mm, surgical management of the fracture is mandatory in order to avoid negative biomechanical and functional consequences for the foot and adverse effects such as arthritis and stiffness as well as painful gait. Non-displaced isolated fractures of the cuboid bone can be effectively treated conservatively by immobilization and by avoiding weight bearing on the injured leg. ![]() ![]() ![]() The treatment of these injuries depends on the particular fracture characteristics. In this case, further investigation including magnetic resonance imaging or scintigraphy may be required. Conventional radiographs do not always reveal occult fractures, which can be under diagnosed especially in children. Clinical examination to diagnose these fractures should be detailed and the differential diagnosis, especially in the case of vague symptoms, should include the exclusion of all lateral foot pain causes. Cuboid fractures due to the particular bone anatomy and its protected location in the midfoot are rare, and they are usually associated with complex injuries of the foot.
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