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Cuboid Fracture

Discussion in 'Biomechanics, Sports and Foot orthoses' started by Bill, May 31, 2005.

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  1. Bill

    Bill Welcome New Poster


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    Does anyone know what the gold standard for treatment of a cuboid fracture is?
     
  2. summer

    summer Active Member

    I don't think there is ever a gold standard for anything. Just my opinion as each case has to be treated individually.

    For those cuboid fractures which I have treated I generally immobilize them if the alignement is good. Partial weightbearing to tolerance is allowed.

    If asymptomatic then no further treatment is advised. You have to consider the possibility of a C-C fusion somewhere later down the road if the joint is symptomatic, although surgical intervention is suggested immediately if the alignment is poor or the fracture is severely comminuted.
     
  3. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    Cuboid Fractures in Preschool Children.
    J Pediatr Orthop. 2006 November/December;26(6):741-744
    Senaran H, Mason D, De Pellegrin M
     
  4. David Smith

    David Smith Well-Known Member

    Summer

    Please could you tell me, What are the clinical signs and symptoms of a cuboid fracture. What is a typical history.

    I have never come across a fractured cuboid (or maybe I did and missed it).

    Thanks Dave Smith
     
  5. David Smith

    David Smith Well-Known Member

    Dear all

    This looks like a good paper
    Journal of the American Podiatric Medical Association Volume 91 Number 2 85-88 2001

    Isolated Cuboid Fracture A Rare Occurrence
    S. Rick Miller, DPM* and Charleen Handzel, DPM

    I didn't get round to renewing my JAPMA subscription this year, I must do that.
    In the mean time if anyone who would like to email the article
    my adress is david.smithpodiatrist@tesco.net.

    Cheers Dave Smith ;)
     
  6. joebrush

    joebrush Welcome New Poster

    I had a sudden inversion/eversion, along with a cuboid avulsion ( fracture ) 10/8/02, was casted within two hours at ER, followed up by orthopedic PA who had casted with a weight bearing cast/crutches. Followed up w/therapy, during the interum taking Dilantin for seizure disorder, which in turn made pain erratic due to half life of meds losing potentcy. As a result of being in a weight bearing cast and taking nuero med I had probably been too active, complicating healing process. Was scheduled for triple arthrodesis, but after the first procedure decided against it, I could not tolerate anymore post-op pain. Was fitted for Richie Brace, at first it was good , however the heel is made of a softer material which in turn wears out, causing supination of the foot, which in turn causes compression of the sural nerve along with a streching of ligament going to the first metatarsel. I have been dealing with pain for five and one half years. I then decided to take it upon myself and read in regards to the bio-mechanics of the foot. As a result of measuring the wearing of the rubber heel of the Richie Brace with a carpenters modular ruler I had cut the back side jacket of a note book into small pieces the size of the heel on the brace to compensate for the worn supinated ( outside ) side of the heel. I then taped the four " slices " to the bottom of the heel. It stopped the peroneus brevis tendons from compressing onto the sural nerve by lifting the heel thus lessening the tension being caused by a dropped suppinated heal pulling of the ligament going to the first metatarsel. NO MORE PAIN. C C fusion should have been done as opposed to the inside of the foot.
     
  7. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    The patterns of injury and management of cuboid fractures
    a retrospective case series

    P. Fenton, S. Al-Nammari, C. Blundell, M. Davies
    Bone Joint J 2016;98-B:1003–8.
     
  8. NewsBot

    NewsBot The Admin that posts the news.

    Articles:
    1
    MR imaging features of cuboid fractures in children.
    O'Dell MC et al
    Pediatr Radiol. 2018 Feb 9. doi: 10.1007/s00247-018-4076-1.
     
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