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Old nutcracker fracture of cuboid.

Guangrong Yu¹, Tao Yu, Yunfeng Yang

¹Department of Orthopaedic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

Indian Journal of Orthopaedics

|June 27, 2013

Summary

Nutcracker fractures of the cuboid are rare injuries. Surgical reconstruction of the lateral foot column successfully treated a delayed presentation of a cuboid fracture, with no recurrence at one year.

Keywords:

Cuboid fracture nutcracker fracture old cuboid fracture treatment

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Published on: April 11, 2012

Area of Science:

Orthopedic Surgery
Foot and Ankle Trauma
Radiology

Background:

Nutcracker fractures of the cuboid are uncommon and frequently misdiagnosed.
Delayed diagnosis can lead to chronic pain and functional deficits.
The lateral column of the foot is crucial for structural integrity.

Purpose of the Study:

To report a case of a delayed presentation of a nutcracker fracture of the cuboid.
To describe the surgical management and outcomes of a reconstructed lateral foot column.
To highlight the importance of recognizing this rare injury.

Main Methods:

A 21-year-old male presented with chronic left foot pain.
Radiographic evaluation revealed a shortened lateral column and an old cuboid fracture.
Surgical reconstruction of the lateral column was performed.

Main Results:

The patient experienced symptom resolution post-surgery.
Radiographs at 1-year follow-up showed no evidence of cuboid fracture recurrence.
The reconstructed lateral column maintained its integrity.

Conclusions:

Surgical reconstruction is an effective treatment for delayed nutcracker fractures of the cuboid.
Prompt diagnosis and management are essential to prevent long-term complications.
Restoration of the lateral foot column can lead to excellent patient outcomes.