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A Case Report of Isolated Cuboid Nutcracker Fracture
Takaaki Ohmori1, Shinichi Katsuo2, Chiaki Sunayama2
1Department of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, Japan; Department of Orthopedic Surgery, Graduate School of Medical Science, Kanazawa University, Takaramachi 13-1, Kanazawa, Ishikawa 920-8641, Japan.
Case Reports in Orthopedics
|June 18, 2016
Summary
This study reports a rare isolated cuboid fracture, a type of nutcracker fracture. A novel arthroscopic surgical technique successfully restored the joint line and relieved pain, offering a new treatment option for this uncommon foot injury.
Area of Science:
- Orthopedic Surgery
- Foot and Ankle Trauma
- Arthroscopy
Background:
- Isolated cuboid fractures are exceptionally rare, often associated with other midfoot injuries.
- Nutcracker fractures of the cuboid present unique diagnostic and management challenges.
Purpose of the Study:
- To describe a rare case of isolated cuboid fracture (nutcracker fracture).
- To present a novel arthroscopic surgical approach for treating this injury.
- To evaluate the efficacy of the new treatment method.
Main Methods:
- Diagnosis was confirmed using X-ray, CT, and MRI.
- Arthroscopic examination of the Lisfranc joint was performed.
- Surgical treatment involved fragment elevation, defect grafting with artificial bone, and no plating.
Main Results:
- The patient presented with pain and shortening of the lateral foot column.
- CT revealed a depressed joint surface between the cuboid and fourth metatarsal.
- Post-surgery, the patient experienced pain-free ambulation within six months.
Conclusions:
- Isolated nutcracker fractures of the cuboid are rare but treatable.
- Arthroscopic management with bone grafting offers a viable alternative to traditional plating.
- This case highlights a successful new treatment strategy for cuboid fractures.
