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Cuboid subluxation in ballet dancers.
1American Ballet Theater, New York, New York.
The American Journal of Sports Medicine
|March 1, 1992
Summary
Cuboid subluxation, a common cause of lateral midfoot pain, is often missed. Early recognition and manual reduction by a healthcare professional are key to successful treatment and recovery.
Area of Science:
- Orthopedics
- Sports Medicine
- Podiatry
Background:
- Cuboid subluxation is a frequently overlooked condition causing lateral midfoot pain.
- It is particularly relevant in the care of dancers, impacting their ability to perform.
Observation:
- Patients report pain with weight-bearing and tenderness upon palpation of the plantar cuboid.
- Physical examination may reveal reduced joint play and subtle forefoot valgus.
- Radiographic and advanced imaging are often inconclusive due to anatomical variations.
Findings:
- Diagnosis relies heavily on subjective patient history and specific physical examination findings.
- Key indicators include lateral foot pain, reduced cuboid mobility, and tenderness.
Implications:
- Accurate diagnosis requires awareness and clinical expertise, as imaging is unreliable.
- Manual reduction by a trained therapist or physician is the primary treatment.
- Follow-up is crucial to ensure the cuboid remains correctly positioned.