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Surgical Management of a Pediatric Cuboid Nutcracker Fracture: A Case Report
Eric Perloff1, Andrew D Posner, Stefanos Haddad
1Department of Orthopaedic Surgery, Albany Medical Center, Albany, New York.
Case:
Cuboid impaction fractures (nutcracker fractures) result from high-energy trauma and are exceedingly rare in children. We present a case of an 8-year-old boy who sustained a comminuted cuboid nutcracker fracture after a fall from height. The patient underwent open reduction and internal fixation with a locking plate. At 1 year postoperatively, lateral column length and articular congruency were maintained, and the patient return to full function and activity.
Conclusion:
Cuboid nutcracker fractures in children are rare and can be successfully treated with open reduction and internal fixation with locking plates, with excellent radiographic and functional outcomes.
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