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Nutcracker fracture of the cuboid: a case report

  • Abraham Manoj-ThomasEmail author
  • A Gadgil
Case Report
  • 120 Downloads

Abstract

Nutcracker fracture of the cuboid is a rare injury usually caused by forced abduction of the forefoot on a fixed hindfoot. We report a case of this fracture in a 58-year-old man who was treated on the principle of ligamentotaxis and the position being held with Kirchner wires for a period of 5 weeks. He recovered without any complications and with good ankle and subtalar movements. At 5 months following the injury he had returned to his previous occupation. We think this novel way of treating this rare fracture is simple and gave a good result in this patient.

Keywords

Nutcracker fracture of the cuboid Ligamentotaxis 

La fracture casse-noisette du cuboïde ; à propos d’un cas

Résumé

La fracture casse-noisette du cuboïde est une lésion rare consécutive à une abduction forcée de l’avant pied sur un arrière pied bloqué. Nous rapportons un cas chez un homme de 58 ans, traité selon les principes de la ligamentotaxie, la position étant maintenue par brochage pour une période de 5 semaines. L’évolution a été favorable, sans complications, avec récupération des amplitudes de l’articulation talo-tibiale et de l’articulation sous-talienne. A six mois le patient a repris ses activités. Ce nouveau traitement simple a fait la preuve de son efficacité.

Mots clés

Fracture casse-noisette du cuboïde Ligamentotaxie 

References

  1. 1.
    Hermel MB, Gersham-Cohen J (1953) The nutcracker fracture of the cuboid caused by indirect violence. Radiology 60:850–854PubMedGoogle Scholar
  2. 2.
    Hillegass RC (1976) Injuries to the midfoot: a major cause of industrial morbidity. In: Bateman JE (ed) Foot science. Saunders, Philadelphia, pp 266–271Google Scholar
  3. 3.
    Hunter CJ, Sangeorzan BJ (1996) A nutcracker fracture: cuboid fracture with an associated fracture of the tarsal navicular. AJR 166(4):888PubMedGoogle Scholar
  4. 4.
    Kavros SJ, Puglisis AS, Guttmann GG (1983) Nutcracker fracture of the foot: a case report. J Am Podiatr Med Assoc 73(10):527–528Google Scholar
  5. 5.
    Koch J, Rahimi F (1991) Nutcracker fractures of the cubiod. J Foot Surg 30(4):336–339PubMedGoogle Scholar
  6. 6.
    Miller SR, Handzel C (2001) Isolated cuboid fracture. A rare occurrence. J Am Podiatr Med Assoc 91(2):85–88PubMedGoogle Scholar
  7. 7.
    Main BJ, Jowett RL (1975) Injuries of the midtarsal joint. J Bone Joint Surg Br 57:89–97PubMedGoogle Scholar
  8. 8.
    Sangeorzan BJ, Swiontkowski MF (1990) Displaced fractures of the cuboid. J Bone Joint Surg Br 72:376–378PubMedGoogle Scholar
  9. 9.
    Woll TS (1997) Fractures and dislocations of the foot. In: Dee R, Hurst LC, Gruber MA, Kottmeier SA (eds) Principles of orthopaedic practise. McGraw-Hill, New York, pp 547–562Google Scholar

Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  1. 1.The Department of Trauma and OrthopaedicsUniversity Hospital of WalesCardiffUK
  2. 2.CardiffUK

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