Cuboid Fractures

Types

 

1.  Capsular avulsions

 

2.  Body / Nutcracker fracture

 

Nutcracker fracture

 

Epidemiology

- rare

 

Mechanism

- forced eversion / abduction of forefoot

- cuboid crushed between 4th and 5th MT and calaneum

 

Pathology

- displaced cuboid fracture with subluxation of tarsus

- may interfere with peroneal tendons

- shortens lateral border of foot

 

Diagnosis

 

Oblique xray

- foot 30o medial

 

Management

- ORIF and bone graft

- rarely need bridging external fixation