Cuboid stress fracture
Very rare.
Mechanism of stress fracture could be similar to acute ‘Nut cracker” fracture of cuboid could indicate that mechanism is due to repeated abduction of forefoot on rearfoot compression of cuboid between calcaneus and bases of 4th and 5th metatarsals.
Clinical features:
Lateral pain in midfoot – located to cuboid. May have history of increased activity levels. Bone scan will show increased uptake in cuboid.
Treatment:
Relative immobilisation (eg strapping, foot orthoses) and activity modification.
If non-responsive or severe cast immobilisation for 4-6 weeks.
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