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The exact etiology of cuboid syndrome remains unclear but many ideas have been proposed. Such ideas include excessive pronation of the foot, overuse injury, and inversion ankle sprains. [1] The favored idea is that the cuboid bone is forcefully everted while the calcaneus is inverted resulting in incongruity at the calcaneocuboid joint. [1]
The foot is usually dislocated medially (80%) and superiorly, which occurs when the foot is plantar flexed and inverted. Lateral displacement occurs during eversion injuries. Associated fractures of calcaneus, cuboid and navicular are frequent. Open fractures occur in a small percentage.
While cuneiform fractures are fairly rare, the most commonly fractured cuneiform bone is the Medial cuneiform, typically the cause of a cuneiform fracture is by physical trauma (direct blow) to the cuneiform, as well as the result of an avulsion fracture and a result of axial load, [5] but can also be the result of a stress reaction that progressed with continued weight-bearing and physical ...
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The articular surfaces of the two bones are relatively flat with some irregular undulations, which seem to suggest movement limited to a single rotation and some translation. However, the cuboid rotates as much as 25° about an oblique axis during inversion-eversion in a movement that could be called involution. [3]
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