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Treatment may be conservative or involve surgery, depending on the type of fracture. [1] They are rare. [1] If the cuboid bone is broken, then it is common for other bones in the foot to be broken or dislocated as well. [2] Cuboid fractures are associated with Lisfranc injuries. [2] Avulsion fracture of the cuboid on CT
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 calcaneocuboid joint is conventionally described as among the least mobile joints in the human foot.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.
Chopart's fracture–dislocation is a dislocation of the mid-tarsal (talonavicular and calcaneocuboid) joints of the foot, often with associated fractures of the calcaneus, cuboid and navicular. [ 1 ]
Nutcracker fracture refers to the comminuted fracture of the cuboid bone of the foot. [ 1 ] [ 2 ] [ 3 ] If treated improperly, it can lead to lateral column shortening and significant pain. [ 4 ] Nutcracker fracture is rare because of the relatively protected position of cuboid in the midfoot.
The dorsal ligaments are strong, flat bands.. The first metatarsal is joined to the first cuneiform by a broad, thin band; the second has three, one from each cuneiform bone; the third has one from the third cuneiform; the fourth has one from the third cuneiform and one from the cuboid; and the fifth, one from the cuboid.
The calcaneocuboid ligament (ligamentum calcaneocuboideum) is fixed to the medial side of the cuboid and forms one of the principal bonds between the first and second rows of the tarsal bones. The calcaneonavicular ligament (ligamentum calcaneonaviculare) is attached to the lateral side of the navicular. (Note this is NOT the spring ligament ...
In this phase, range of motion exercises should be implemented if surgery was needed for the fracture. The third and final phase of rehabilitation of calcaneal fractures is to allow the full body weight to be used and use crutches or a cane if needed, between 13 weeks to a year the patient is allowed to resume normal activities.