Cuboid Syndrome

Revision for “Cuboid Syndrome” created on April 6, 2018 @ 18:39:38

Cuboid Syndrome
Poorly recognised. Cuboid assumed to become partially subluxed due to excessive traction from peroneus longus as the foot is excessively pronated  cuboid not stable as peroneus longus contracts  lateral aspect of cuboid pulled dorsally and medial aspect plantarly. Cuboid may also become subluxed as part of lateral ankle sprain. In about 4% of all foot injuries in athletes. Clinical features: Lateral pain on weightbearing – over calcaneocuboid joint and cuboid-metatarsal joints; pain is often referred  get a generalised foot discomfort, especially over lateral aspect of foot. Pressing cuboid upwards  can produce pain Range of movement of cuboid is restricted relative to unaffected foot. If severe  may have shallow depression on dorsum of foot Has not been documented on x-ray. Differential diagnosis – sinus tarsi syndrome; stress fracture; peroneal tendonitis; irritation of os peroneum; ankle meniscoid lesion/impingement. Pain in calcaneocuboid joint has been reported as being common following plantar fascia surgical release. Treatment: Activity modification. Manipulation – cuboid pushed upward and laterally from the plantar surface Ice, strapping, foot orthoses with cuboid notch, footwear with good rearfoot control‘cuboid-syndrome’-misnomer

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