What is a nutcracker cuboid fracture?
A nutcracker fracture of the cuboid refers to a cuboid bone fracture with associated navicular avulsion fracture due to compression between the bases of 4th and 5th metatarsals and calcaneus bone. The injury usually occurs secondary to the traumatic abduction of the forefoot.
Why is a cuboid fracture called a nutcracker?
Compressed fracture of the cuboid was named “nutcracker” fracture by Hermel and Gershon-Cohen. It results from forced plantar flexion and abduction, crushing the cuboid between the calcaneus and fourth and fifth metatarsals.
Which bone gets fractured in a nutcracker fracture?
A cuboid impaction fracture, also referred to as a nutcracker fracture, is an uncommon fracture of the cuboid bone on the outside of the foot (Figure 1).
Where is cuboid bone in foot?
The cuboid bone sits on the lateral side of the foot, sandwiched between the calcaneus and the fourth and fifth metatarsals, articulating with the navicular and third cuneiform. It is recognized by its large size and projecting, pointed, proximal articular surface.
How long does it take for a cuboid fracture to heal?
Undisplaced fractures of the cuboid can be managed with nonweight bearing for 4–6 weeks in a well-molded below knee cast. Followup at 2 weeks with weight bearing or stress X-rays can be obtained to exclude the presence of an occult fracture, ligamentous injury or subluxation.
Can you walk on a fractured cuboid?
In cuboid fractures with minimal pain and swelling, treating with an elastic bandage or with a fracture boot and walking with partial weight bearing until the satisfactory regression of the symptoms, may be enough. In the case of severe initial pain, a short walking cast for 4-6 wk is recommended[30].
How do you know if you have a cuboid fracture?
Symptoms of a cuboid fracture include bruising, tenderness, swelling, lateral foot pain, instability, and difficulty with weight bearing. Cuboid fractures have the potential to cause considerable deformity involving the foot arch, lateral column, and the function of the forefoot.
How do you treat a broken cuneiform bone?
Most cases of non-displaced medial cuneiform fracture can be treated conservatively with immobilization with a short leg cast for a period of approximately 6 weeks. There are only two cases reported in the literature of non-union of a non-displaced medial cuneiform fracture.
Can you walk with a fractured cuboid?
Can you walk with a cuboid fracture?
How do you treat a cuboid bone?
How is cuboid syndrome treated?
- Rest your foot.
- Ice your foot with cold packs for 20 minutes at a time.
- Compress your foot with an elastic bandage.
- Elevate your foot above your heart to reduce swelling.
How do you tell if your cuboid is fractured?
How long does it take for a fractured cuboid to heal?
How do you relieve pain from a cuboid?
How do you know if your cuneiform bone is broken?
Symptoms
- Immediate, throbbing pain.
- Pain that increases with activity and decreases with rest.
- Swelling.
- Bruising.
- Tenderness.
- Deformity.
- Difficulty in walking or bearing weight.
Can you walk with a broken cuneiform bone?
Many people continue to walk on their injured foot despite having a fracture. This can cause further damage to the foot or toe. The patient may have been walking around on a broken bone for weeks. Sometimes, stress fractures don’t show up on X-rays for up to 2 weeks after the injury.
