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Cuboid Subluxation and Fracture, Sports Medicine

Timothy Ryan Draper, DO, ABFM, CAQSM and Karl B. Fields, MD, CAQ Reviewed 04/2019
 


BASICS

DESCRIPTION

  • Fracture: can be avulsion fractures, intra-articular, or extra-articular. The majority (48%) are avulsion fractures 1.

  • Frequently associated with other fractures, dislocations, or lig...

DIAGNOSIS

HISTORY

  • Subluxation:

    • May follow inversion ankle injury

    • Subluxation may be precipitated by increased routine activity, increased activity on uneven terrain, or initiation of new activity, especi...

TREATMENT

  • Subluxation:

    • Manipulate cuboid back into place.

    • Patient stands with support, affected leg with knee bent to 90 degrees. Examiner grasps forefoot with fingers and places thumbs (one over the ot...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Subluxation:

    • Return to play depends on the severity of the athlete’s symptoms.

    • Most athletes should be able to return to play almost immediately given proper treatm...

REFERENCES

1
Fenton P, Al-Nammari S, Blundell C, et al. The patterns of injury and management of cuboid fractures: a retrospective case series. Bone Joint J.  2016;98-B(7):1003–1008.
2
Carsen S, Qui...

ADDITIONAL READING

  • Hunter JC, Sangeorzan BJ. A nutcracker fracture: cuboid fracture with an associated avulsion fracture of the tarsal navicular. AJR Am J Roentgenol.  1996;166(4):888.

  • Main BJ, Jo...

CLINICAL PEARLS

  • Frequently associated with other fractures and midfoot injuries

  • Weight-bearing foot x-rays should be done if possible because subtle associated injuries to the Lisfranc joint may be mis...

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