A Case Report of Isolated Cuboid Nutcracker Fracture

Author:

Ohmori Takaaki12,Katsuo Shinichi1ORCID,Sunayama Chiaki1,Mizuno Katsunori1,Ojima Tomohiro1,Yamakado Kotaro1,Ando Tomonari1,Watanabe Shin1,Hayashi Seigaku1,Tsuchiya Hiroyuki2

Affiliation:

1. Department of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, Japan

2. Department of Orthopedic Surgery, Graduate School of Medical Science, Kanazawa University, Takaramachi 13-1, Kanazawa, Ishikawa 920-8641, Japan

Abstract

Isolated cuboid fractures are very rare, since they typically occur in combination with midfoot fractures or dislocations. A 61-year-old man presented at our hospital with pain and swelling on the outside of his right foot. The lateral column of his right foot was shortened by approximately 6.5 mm on X-ray. CT showed displacement of the joint surface between the cuboid and the fourth metatarsal, with a 3.5 mm depression. An MRI revealed no other injuries. Based on these findings, we diagnosed the patient with an isolated nutcracker fracture of the cuboid. Using a 1.9 mm arthroscope, we examined the Lisfranc joint. Then the depressed fragments were elevated until the regular joint line was restored. A bone biopsy needle was then used to fill in the large defect with artificial bone. In this case, we did not plate the fracture. Six months after surgery, patient could walk without pain. We report a very rare case of isolated nutcracker fracture of the cuboid. In addition, we suggest our new treatment plan of this fracture.

Publisher

Hindawi Limited

Subject

General Earth and Planetary Sciences,General Environmental Science

Cited by 4 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Fractura de astrágalo asociado a fractura del cuboides en un niño de 9 años: reporte de caso;Anales de la Facultad de Medicina;2023-10-01

2. “Nutcracker” Cuboid Fracture in a Collegiate Football Player;Athletic Training & Sports Health Care;2021-01

3. Update on diagnosis and management of cuboid fractures;World Journal of Orthopedics;2019-02-18

4. Nutcracker Cuboid Fracture: A Case Report and Review;Case Reports in Emergency Medicine;2018

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