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Cuboid nutcracker fracture in a 9-year-old child
Tannous Jorge Sassine1, Bernardo Barcellos Terra1, Vincenzo Giordano2
1Departamento de Ortopedia, Escola de Medicina Santa Casa de Misericórdia de Vitória, Vitoria, ES, Brazil.
BMJ Case Reports
|February 5, 2021
Summary
A rare cuboid nutcracker fracture in a child, caused by foot compression, was successfully treated surgically. Early diagnosis and management are crucial for preventing long-term complications in pediatric patients.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Foot and ankle trauma
Background:
- Cuboid nutcracker fractures are uncommon injuries in pediatric populations.
- Accurate diagnosis and timely management are essential to prevent potential long-term sequelae.
Observation:
- A 9-year-old girl sustained a cuboid nutcracker fracture after a direct impact injury to her left foot.
- Clinical presentation included severe pain and inability to bear weight.
Findings:
- Imaging confirmed a compression fracture of the cuboid bone.
- Surgical intervention involved direct reduction and fixation with Kirschner wires.
Implications:
- This case highlights the importance of recognizing rare pediatric foot fractures.
- Further research is needed on optimal treatment and long-term outcomes for cuboid nutcracker fractures in adolescents.
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