52, No. Cuboid fractures are often missed on first presentation 1 .It is an important stabilizing structure of the foot, the articulation of the cuboid with the metatarsal bones contribute to almost all plantar and dorsal movements of the lateral aspect of the foot, fractures of this lateral tarsal bone can have complex consequences to everyday foot . 36, No. 4, Journal of Pediatric Orthopaedics, Vol. The cuboid makes up the midfoot's contribution to the lateral column of the foot and serves mainly as a lateral column spacer block. Case II: A 48-year-old housewife caught the toe of her right shoe on the edge of a stair step. Frontal. This radiology examination revealed fractures that were the result of acute trauma or were stress fractures linear in configuration and most commonly adjacent to the . 5, Foot & Ankle International, Vol. that articulates with the cuboid. xS**T0T0 Bi yA$ LpW>q){.Zk2!wS+3HjrfX1o-+5wbQT;uiz%h`:M[I!>s(x8_73WF2p ^,/Q#Q~Xj4cz6Yw\oX}. 432, Foot & Ankle International, Vol. 23, No. You can use Radiopaedia cases in a variety of ways to help you learn and teach. Foot. Pain and swelling at the right ankle and foot since this morning after a twisted ankle while step down the stairs. Enter your email address below and we will send you the reset instructions. 25, No. <>stream Frontal. 7, Clinics in Podiatric Medicine and Surgery, Vol. 4 0 obj Adobe PDF Library 15.0; modified using iText 4.2.0 by 1T3XT 210, No. Surgical management is indicated for . 2012;78:2169. x+ | 24 0 obj <>stream Case II: A 48-year-old housewife caught the toe of her right shoe on the edge of a stair step. 1, Clinical Orthopaedics & Related Research, Vol. Distribution and natural history of stress fractures in U.S. Marine recruits. 2, World Journal of Orthopedics, Vol. 2, Clinics in Podiatric Medicine and Surgery, Vol. 3, Journal of Bone and Joint Surgery, Vol. 13, No. On examination: mild swelling, hotness, and tenderness over the lateral malleolus and base of the dorsal side of the right foot. Pediatr Radiol. Radiology 1953; 60:850-854 [Google Scholar] 17. 1). Examination showed marked swelling about the dorsum of the tarsus and sharp tenderness over the cuboid and navicular. 2, Orthopedic Clinics of North America, Vol. 211, No. 16, No. Classification and epidemiology of mid-foot fractures. Gershon-Cohen J: Nut cracker fracture of the cuboid by indirect violence. ADVERTISEMENT: Radiopaedia is free thanks to our supporters and advertisers. 3, The Bone & Joint Journal, Vol. 4, Foot & Ankle International, Vol. padding: 2rem; Citation, DOI and article data. An isolated reference to cuboidal fracture appears in a single sentence by Schinz, Baensch, Friedl, and Uehlinger (8). 2, Foot & Ankle International, Vol. These fractures were treated conservatively by immobilization in a plaster cast. Routine radiographs must include oblique medial view. Sudden severe pain was felt in the tarsal region, and the patient could not step on the injured foot. 4, Techniques in Orthopaedics, Vol. .addthis_inline_follow_toolbox { <>stream Borelli J, et al. xmp.id:53c75e8e-38ad-1e42-9115-dc4fc0824c74 nately coronal oriented avulsion fracture through the APC (Fig. Wang CL, Shieh JY, Wang TG, Hsieh FJ. Dr Jbara also discusses the mechanism of injury as well as the classification systems and X-ray evaluation of adult talar, calcaneal, midfoot, base of 5th, stress, and sesamoid fractures. 4, Case Reports in Emergency Medicine, Vol. Body fractures of the cuboid are usually intra-articular and crescentic-shaped and due to . 211, No. endobj 1993;83:153155. Radiology (ASER) educational resources. 25, No. endobj All patients underwent an initial three-view radiographic foot series for pain. MATERIALS AND METHODS. 2018, American Journal of Roentgenology, Vol. MRI of isolated cuboid stress fractures in adults. He presented with a localized pain around his left foot. Connect with peers, learn from experts. <>>>/BBox[0 0 603.36 783.36]/Length 169>>stream 34, No. Body fractures of the cuboid are usually intra-articular and crescentic-shaped and due to . Chen JB. Within a few minutes she was seen by an orthopedic surgeon, Dr. D. T. Jones, who noted marked swelling over the dorsum of the tarsus and marked tenderness over the midtarsal area both laterally and medially. 2013;201:13251330. %PDF-1.3 If the address matches an existing account you will receive an email with instructions to reset your password. Summary. 2, Langenbecks Archiv fr Klinische Chirurgie, Vol. The anterior process of the calcaneus (APC) is a saddle-shaped osseus projection that articulates with the cuboid an-teriorly to form the calcaneo-cuboid joint . Clinics in Podiatric Medicine and Surgery, Vol. 5, European Journal of Orthopaedic Surgery & Traumatology, Vol. 11, No. Treatment is generally nonoperative with cast immobilization and non weight-bearing for the majority of fractures. Orthopedic Surgery 23 years experience. . 10 0 obj x+ | Cuboid fractures present with symptoms of pain on the outside of the foot just above the 5th metatarsal. justify-content: center; Read More. endobj The stabilizing ligaments that hold the calcaneus in place occupy very specific locations, and the Achilles tendon enthesis is in a relatively constant location; therefore, avulsion fractures occur in reproducible locations. 1, Journal of Pediatric Orthopaedics, Vol. Other cuboid fractures are stress fracture, body fracture, or fracture-dislocation of the cuboid. x+ | 5, European Journal of Orthopaedic Surgery & Traumatology, Vol. Case 1: A 45-year-old woman caught the tip of her left shoe on the edge of the curb while stepping up from the street. x+ | 4, European Journal of Trauma and Emergency Surgery, Vol. endobj Radiology. 5, 2022 Radiological Society of North America, Case report of a fractured cuboid following an inversion injury of the ankle, Isolated undisplaced fracture of the cuboid in a professional soccer player: a case report. Avulsion fractures of the cuboid mostly occur at the insertion of the plantar calcaneocuboid ligament. Non-displaced isolated fractures of the cuboid bone can be effectively treated conservatively by immobilization and by avoiding weight bearing on the injured leg. 2014;1:132135. 3, Journal of Bone and Joint Surgery, Vol. 29, No. 133, No. Your doctor will usually confirm the cuboid avulsion fracture through the radiology department. 432, Foot & Ankle International, Vol. This results in loss of the normal . 25, No. 6, Archives of Orthopaedic and Trauma Surgery, Vol. Her right foot was forced into excessive plantar flexion. endobj When avulsion fracture is identified, a high suspicion index is needed to exclude Lisfranc and Chopart injuries. 3, Journal of the American Podiatric Medical Association, Vol. width: 100%; endstream So, full examination of the foot for other fractures is a must. MR imaging features of cuboid fractures in children. . The nutcracker fracture of the cuboid by indirect violence. O'Dell MC, Chauvin NA, Jaramillo D, Biko DM. Isolated cuboid stress fractures are rare. endobj Dec 4-16, 2022. endstream application/pdf 23, No. 11, Foot & Ankle International, Vol. The patient was managed non-operatively with . endobj 3. 300, No. xS**T0T0 Bi yS& endstream 5, Journal of Pediatric Orthopedics, Vol. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. 18, No. 30, No. Foot. 26, No. In addition, an avulsion fracture of the tuberosity of the navicular was found with slight distraction of a crescentic bony fragment (Fig. 28, No. 18, No. 2, Langenbecks Archiv fr Klinische Chirurgie, Vol. X-ray examination of the right foot disclosed a severely comminuted fracture of the cuboid with widening and disruption of the calcaneocuboid joint (Fig. 18, No. 23, No. Nutcracker fracture of the cuboid: Management and results. 29, No. 23 0 obj Classification and epidemiology of midfoot fractures. The mechanisms of injuries include overuse and neuropathic conditions, although most cases are related to trauma. 47, No. 3, Knee Surgery, Sports Traumatology, Arthroscopy, Vol. 21, No. &Y@6KYv3 ;v 13, No. 2. endstream Learn how we can help. 52, No. 2, Foot & Ankle International, Vol. Case III: A 39-year-old woman put her right foot on the gas pedal instead of on the brake in an attempt to avoid a collision while driving her automobile. Os peroneum fracture and peroneus longus tendon injuries were characterized with US and MR imaging. uuid:583c39ff-dc96-4b48-970b-c8d561da60f8 1, Journal of the American Podiatric Medical Association, Vol. <>stream 13 0 obj 1). 2, Clinics in Podiatric Medicine and Surgery, Vol. ADVERTISEMENT: Supporters see fewer/no ads. Address correspondence to J. S. Yu (Joseph.yu@osumc.edu). 3, Clinics in Sports Medicine, Vol. Case 1: A 45-year-old woman caught the tip of her left shoe on the edge of the curb while stepping up from the street. adobe:docid:indd:89637412-0d7e-11de-b9ed-86c100e5e765 MRI of isolated cuboid stress fractures in adults. When she crashed into a wall, her foot jammed against the floor board, with her toes locked against the foot-dashboard. 25, No. 91, No. 13, No. This true Jones fracture should be distinguished from the more common avulsion type fracture of the fifth metatarsal tuberosity which has a much better prognosis. Cuboid stress fracture. 94, No. {"url":"/signup-modal-props.json?lang=gb\u0026email="}, ElBeialy M, Avulsion fracture of the dorsal cuboid bone. A nutcracker fracture: Cuboid fracture with an associated avulsion fracture of the tarsal navicular. 5, American Journal of Roentgenology, Vol. Distally, it articulates with the fourth and fifth metatarsals. Red arrows point at the detached crescent-shaped bone fragments at dorsal surface of the postero-lateral cuboid bone. adobe:docid:indd:89637412-0d7e-11de-b9ed-86c100e5e765 Avulsion fractures of the cuboid mostly occur at the insertion of the plantar calcaneocuboid ligament. The injury usually occurs secondary to the traumatic abduction of the forefoot. 29, No. &Y@6KYv3 ;v 16 0 obj 36, No. 27, No. x_ray. 32, No. Pountos, Ippokratis, Michalis Panteli, and Peter V. Giannoudis. 31, No. endstream Because the cuboid was severely comminuted, a midtarsal fusion was done. Age: 30 years. Yu G, Yu T, Yang Y, Li B, Yuan F, Zhou J, et al. 21 0 obj Greaney RB, Gerber FH, Laughlin RL, Kmet JP, Metz CD, Kilcheski TS, Rao BR, Silverman ED. HWio__L$0. i]ii>HPRPduz/6 _,;<=tUekhaJlSuU4ja_3I~{was^}~Q[iuzPzO)GpS7wZC/-X~Z`YuE`\Z4ziZ[op\w / The patient then began walking and she has had no residual difficulty or disability. 14 0 obj 26, No. 13, No. Avulsion fractures of the calcaneal tuberosity are uncommon, . In addition, an avulsion fracture of the tuberosity of the navicular was found with slight distraction of a crescentic bony fragment (Fig. The toddler's cuboid fracture. <>stream 2, Seminars in Roentgenology, Vol. 4, Journal of Pediatric Orthopaedics, Vol. 210, No. Clinics in Podiatric Medicine and Surgery, Vol. Presentation. 5, 2022 Radiological Society of North America, Case report of a fractured cuboid following an inversion injury of the ankle, Isolated undisplaced fracture of the cuboid in a professional soccer player: a case report. Yu G, Yu T, Yang Y, Yuan F. Old nutcracker fracture of cuboid. 2, Emergency Medicine Clinics of North America, Vol. 17 0 obj 6, Journal of Foot and Ankle Surgery (Asia Pacific), Vol. endstream 1953; 60:850-4. x+ | 6, No. endstream AJR Am J Roentgenol. There is pain on tip-toe walking, running or hopping that can be sharp and immediate in onset. margin-bottom: -6rem; 30, No. Avulsion fracture of the dorsal surface of the postero-lateral cuboid bone is seen. We report a 21-year-old patient presented with a 9 months old cuboid fracture. 1993;83:153-155. Diagnosed with tendinopathy and pain since then. 40, No. If the address matches an existing account you will receive an email with instructions to reset your password. Read More. So in this case, you can see the multiple avulsion fragments below the medial patella facet not visible on either the AP or lateral projections. 29, No. 11, No. 1). 4, Annales franaises de mdecine durgence, Vol. . &Y@6KYv3 ;v % 6, The Journal of Emergency Medicine, Vol. False 12, Clinics in Podiatric Medicine and Surgery, Vol. 7, European Journal of Orthopaedic Surgery & Traumatology, Vol. 14, Journal of the American Academy of Orthopaedic Surgeons, Vol. 1999;27:421425. Radiology 60:850-854, 1953. 2013;47:3102. Minor fragmental avulsion fractures at ligament and capsule insertions are the most common form of cuboid injury. are dislocated laterally in this homolateral Lisfranc dislocation. 2006;16:138141. Avulsion fracture of the base of the fifth metatarsal is the most common isolated injury of the foot resulting from inversion or adduction force. <>stream The most common mechanism causing a body fracture is a nutcracker fracture and is commonly associated with a navicular fracture. Created for people with ongoing healthcare needs but benefits everyone. 91, No. endobj Frontal and oblique foot radiographs, not ankle radiographs, are most optimal for showing these fractures, which . xS**T0T0 Bi yJ% NWH-k9":,8h(j128:W4R65VPRICdB@}=Ge*$Y/]KPSM{3eU;-= (7jZ>+o3U&b;*(bXj` AJR Am J Roentgenol. The weight of her body was transmitted through the foot held in plantar flexion. S2, Orthopedic Clinics of North America, Vol. Body fractures of the cuboid are usually intra-articular and crescentic-shaped and due to rotational motion trauma to the forefoot in a plantar-flexed position. In the case of shortening of the . Yu SM, Dardani M, Yu JS. 13, No. endstream 2). Sudden sharp pain was felt in the tarsal area, and she was unable to step on her right foot. The purpose of this study was to evaluate the MRI appearance of this condition. A nutcracker fracture of the cuboid refers to a cuboid bone fracture with associated navicular avulsion fracture due to compression between the bases of 4 th and 5 th metatarsals and calcaneus bone. 5 0 obj 26, No. Our goal is to gen- . Isolated cuboid fracture is a rare fracture. Enter your email address below and we will send you the reset instructions. Insufficient views, lack of weightbearing. Depends on fracture: A small avulsion fracture of the cuboid may require no treatment other than crutches and pain control. The cuboid acts as a static supporting structure within the lateral column of the foot. The 5 cases which we are presenting were observed by us during the past year, possibly because these fractures are more common than is generally realized. 2013;201:132530, Blumberg K, Patterson RJ. Compression fracture of the cuboid by indirect violence is not mentioned in many textbooks (3, 5, 6, 9, 10, 11) and is seldom referred to in the voluminous literature of the past two decades (7). Insufficient views: In this example, a patella fracture may not be evident unless an axial view is obtained. xU0DYI\"qg?PCEH%J{L2+.RV46skS8Rwm&Py&($`$~ )qamxbWUW=;m 46, No. <>stream Fracture of the Cuboid; J Am Acad Orthop Surg 2012;20: 472-477. Because the cuboid was severely comminuted, a midtarsal fusion was done. endstream 33, No. 2018, American Journal of Roentgenology, Vol. The weight of her body was transmitted through the foot held in plantar flexion. endobj 1, Operative Orthopdie und Traumatologie, Vol. Others may be along the lateral border of the cuboid due to cuboid adduction on the calcaneus, posing tension on the lateral calcaneocuboid ligament. On lateral view, bones of the midfoot will be subluxed or dislocated in a plantar direction. xU0DYI\"qg?PCEH%J{L2+.RV46skS8Rwm&Py&($`$~ )qamxbWUW=;m 1983;146:339346. 25, No. 2, American Journal of Roentgenology, Vol. 125, No. A nutcracker fracture: Cuboid fracture with an associated avulsion fracture of the tarsal navicular. 3, The Bone & Joint Journal, Vol. 17, No. 20, No. Radiology 1996;199:1-12. . endobj X-ray examination revealed a comminuted, impacted fracture of the cuboid, with widening of the calcaneocuboid joint. Cuboid stress fracture. Inversion is the leading injury mechanism and consist in adduction, plantar-flexion and supination of the foot resulting in stressful forces on ankle-lateral-collateral-ligaments, possibly with distraction, avulsion or even rupture of anterior talofibular and calcaneofibular-ligaments. 2015-10-13T15:09:15-04:00 endobj k:*OXhKXks=XeKm5h|%>6DKkpUZ38pjqvE.&0^\/=1-i(@'@/o1}`L 1| J Clin Ultrasound. There was a fracture of the base of the 2nd metatarsal. While cuboid and cuneiform fractures are uncommon . <>>>/BBox[0 0 603.36 783.36]/Length 169>>stream xS**T0T0 Bi yn) Hunter JC, Sangeorzan BJ. 6, Current Opinion in Orthopaedics, Vol. Unable to process the form. 10, No. AJR Am J Roentgenol. 56, No. endstream Thank. https://www.sportsmedreview.com/by-joint/foot/, https://wikism.org/w/index.php?title=Cuboid_Fracture&oldid=17912, Including both traumatic and stress fractures, "Nutcracker" fracture first described by Hermel and Gershon-Cohen in 1953, Rare fracture pattern, poorly described in the literature, Midfoot are rare and have an annual incidence of approximately 3.6/100,000 fractures, Annual frequency reaches 1.8 per 100000 in the United Kingdom, Rare fracture pattern, some presentations limited to case reports, Diagnostically challenging, often missed in minor trauma, Isolated avulsion fractures are most common, Can occur as the result of indirect compression with axial force applied to a plantar-flexed, abducted foot, Crashing the cuboid between the calcaneal and the bases of the 4th and 5th metatarsals, Can disrupt mechanical alignment of the foot, Due to traumatic avulsion of calcaneocuboid ligament, Seen from ankle sprain with hindfoot everted, forefoot adducted, Less common than other tarsal stress fractures as cuboid is not a weight-bearing bone, Stabilizes calcaneocuboid joint, supports lateral column and functions as fulcrum during contraction of, In acute injuries, there is usually a history of trauma, Patients will endorse dorsolateral foot pain, Antalgic gait, trouble weight bearing, especially on lateral side of foot, In patients with stress injuries, history is more consistent with an overuse injury, Stress fractures may have no obvious clinical signs, Dorsolateral swelling, ecchymosis may be present, Tenderness to lateral midfoot at the cuboid, Stress fractures may have palpable mass if there is periosteal reaction or sclerosis, AP view: can evaluate medial and lateral columns, Lateral: assess congruency of the calcaneocuboid joint, Oblique: assess the integrity of the tarsometatarsal joints, Imaging of contralateral limb if diagnostic uncertainty, Stress or weight bearing views to evaluate for stability/ instability, May better detail the fracture, inter-osseous instability, Imaging modality of choice in suspected stress fracture, T1: continuous hypointense signals, fat suppression, T2: hyperintense signal in the bone, loss of the bone marrow signal is detected, Role in evaluation of cuboid fracture not well defined, Wang et al: 24/268 patients with post traumatic foot pain and negative radiographs had fractures on US, Group B: the involving calcaneocuboid or metatarsocuboid joint, Group C: complex injuries involving both major joint surfaces, Further subdivided based on complexity, plane, and the part of the bone involved, Avulsion fracture involving the capsule of the calcaneocuboid joint, Stable, isolated extra-articular fractures, Length of the foot lateral column is maintained, Isolated intra-articular fractures within the body of the cuboid, Involving the calcaneocuboid, the tarsometatarsal joint, or both of them, Intra-articular fracture that require anatomic reduction and stabilization, Associated with disruption of the midfoot, tarsometatarsal injuries, May be accompanied by disruption of the mid-tarsal joint, loss of length of the lateral column alone, Gradually advance weight bearing at 2-4 weeks, Must limit activity with a slow return to sport, Week 6: Place in walking boot, advance weight bearing status, Most surgical outcomes and results based on case reports and small cases series, Weber et al: among 12 patients, no complications, residual articular step in 2 patients, early degenerative changes in 4, Yu et al: fair results in 4 patients, good results in 2 patients. 27, No. 1, Operative Orthopdie und Traumatologie, Vol. Check for errors and try again. 4, The Journal of Foot and Ankle Surgery, Vol. endobj endobj A case report. Marrow oedema signal is seen at the dorsal surface of the postero-lateral cuboid bone. Marlena Jbara, MD discussed normal foot anatomy as well as the normal foot X-rayviews. After ten weeks there was good bony ankylosis of the joint. 16, No. x+ | 46, No. 10, No. This injury may be part of a Lisfranc or Chopart injury, in which case there may also be bruising at the plantar aspect and medial pain. Depends on fracture: A small avulsion fracture of the cuboid may require no treatment other than crutches and pain control. 7, European Journal of Orthopaedic Surgery & Traumatology, Vol. Cases were reported by Benassi (1) in 1940, and by Bianchi (2) in 1931. N Engl J Med 1951; 244:970-972 [Google Scholar] Hagino T, Ochiai S, Watanabe Y, Senga S, Takayama Y, Haro H. A case of a cuboid bone stress fracture in a senior high school rugby athlete. 31, No. 18, No. 6, Journal of Foot and Ankle Surgery (Asia Pacific), Vol. 11, Foot & Ankle International, Vol. Tarsal Navicular Fractures are rare fractures of the midfoot that may occur due to trauma or due to repetitive microstress. 1, Journal of Pediatric Orthopaedics, Vol. endstream proof:pdf 300, No. Review of 43 foot radiographs obtained in 36 control subjects (eight men, 28 women; age range, 18-84 years) who were found to have an os peroneum at radiography but were asymptomatic in that area was completed to measure os peroneum distance . 2, No. 1953;60:850854. J Am Podiatr Med Assoc. 103, No. 2, No. "Update on diagnosis and management of cuboid fractures." adobe:docid:indd:89637412-0d7e-11de-b9ed-86c100e5e765 6, Archives of Orthopaedic and Trauma Surgery, Vol. <>stream From the case: Cuboid fracture. 18, No. Avulsion fracture of the dorsal cuboid bone. endstream 8 0 obj 2013;201:1325-30 13, No. 19 0 obj 25, No. Lateral foot pain. Fracture cuboid is uncommon (about 5 to 10 percent of the tarsal fractures) and is frequently associated with lateral column fracture or tarsometatarsal joint fracture-dislocation. Stress fractures. Greenspan A. 4, Foot & Ankle International, Vol. 2, Seminars in Roentgenology, Vol. 12 0 obj Radiology 60: 850, 1953. Adobe InDesign CC 2015 (Windows) J Am Podiatr Med Assoc. Others may be along the lateral border of the cuboid due to cuboid adduction on the calcaneus, posing tension on the lateral calcaneocuboid ligament. Cited Here | PubMed | CrossRef; 17. xU0DYI\"qg?PCEH%J{L2+.RV46skS8Rwm&Py&($`$~ )qamxbWUW=;m Inversion and Eversion Injuries Ankle sprains are the most common type of trauma affecting the inferior limb. Medially, it articulates with the navicular nad lateral cuneiform. <>stream 6, The Journal of Emergency Medicine, Vol. Fenton P, Al-Nammari S, Blundell C, Davies M. The patterns of injury and management of cuboid fractures: a retrospective case series. 23, No. 20, No. from application/x-indesign to application/pdf 2022-12-11T08:44:30-08:00 Court-Brown C, Zinna S, Ekrol I. 18, No. The patient still had a painful foot with edema over the dorsum of the tarsal area twenty-four weeks after the conclusion of treatment, but after ten more weeks, all symptoms and signs had disappeared. CONCLUSION. Compression fracture of the cuboid by indirect violence is not mentioned in many textbooks (3, 5, 6, 9, 10, 11) and is seldom referred to in the voluminous literature of the past two decades (7). 3, Ariv Kaynak Tarama Dergisi, Vol. Avulsion fractures are the most common of the tarsal fractures representing about 70% of the cuboid fractures. Cuboid fractures areuncommon. xS**T0T0 Bi y\' 103, No. 85, Operative Techniques in Sports Medicine, Vol. &Y@6KYv3 ;v Bone Joint J. Cases were reported by Benassi (1) in 1940, and by Bianchi (2) in 1931. The patient still had a painful foot with edema over the dorsum of the tarsal area twenty-four weeks after the conclusion of treatment, but after ten more weeks, all symptoms and signs had disappeared. 15 0 obj 133, No. X-ray both frontal and oblique views show avulsed fracture at the lateral aspect of the left cuboid bone. 2, Journal of the American Podiatric Medical Association, Vol. 2, Emergency Medicine Clinics of North America, Vol. AJR Am J Roentgenol. 98-B, No. 17, No. So lack of weightbearing can lead to false . Hermel M.B, Gershon-Cohen J; The nutcracker fracture of the cuboid body by indirect violence. 7 0 obj Because the cuboid was severely comminuted, a midtarsal fusion was done. X-ray examination of the right foot disclosed a severely comminuted fracture of the cuboid with widening and disruption of the calcaneocuboid joint (Fig. )|T {I5@)yDlCGEm[zW^]xt[)U08'|X" hu`$osv,PjJwdKK%LqE y861`1t:66kS+XmB0FU5]o AW- 1, Current Sports Medicine Reports, Vol. Orthopedic Trauma Association Classification, Hermel MB, GERSHON-COHEN J. converted In their recent study, O'Dell et al used MRI to confirm cuboid fractures in 19 children aged 18 mo to 17 years, nine of whom the initial radiography was negative for fracture. 9, Indian Journal of Orthopaedics, Vol. 6 0 obj 2002;23:100813. 1 0 obj xU0DYI\"qg?PCEH%J{L2+.RV46skS8Rwm&Py&($`$~ )qamxbWUW=;m X-ray. 1996;166:888. Angoules, Antonios G., et al. 4, European Journal of Trauma and Emergency Surgery, Vol. MRI of isolated cuboid stress fractures in adults. 6, Archives of Orthopaedic and Trauma Surgery, Vol. type 3, osseous fragment greater than 5 mm and angulation greater than 10; and type 4, compression fracture of medial cuboid and major joint distraction. 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