Cuboid Fractures

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Cuboid Fractures

Cuboid can be fractured from direct trauma, twisting injuries or impacting injuries.

Nutcracker injury:
Due to compression of cuboid between calcaneus and 4th & 5th metatarsals when the forefoot is everted on rearfoot – often occurs with other midfoot fractures
Often displaced

Clinical features:
Can be missed unless get oblique x-ray views. Lateral midfoot will be swollen, painful to palpation and have ecchymosis over skin. Patient unable to weightbear.

Surgical reduction

Long term complications:
• lateral foot pain from damage to calcaneocuboid and metatarsal-cuboid joints  use physical therapy, mobilisation and foot orthoses
• sural nerve entrapment (may be from surgical reduction)

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