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.
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.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Hermel MB, Gersham-Cohen J (1953) The nutcracker fracture of the cuboid caused by indirect violence. Radiology 60:850–854
Hillegass RC (1976) Injuries to the midfoot: a major cause of industrial morbidity. In: Bateman JE (ed) Foot science. Saunders, Philadelphia, pp 266–271
Hunter CJ, Sangeorzan BJ (1996) A nutcracker fracture: cuboid fracture with an associated fracture of the tarsal navicular. AJR 166(4):888
Kavros SJ, Puglisis AS, Guttmann GG (1983) Nutcracker fracture of the foot: a case report. J Am Podiatr Med Assoc 73(10):527–528
Koch J, Rahimi F (1991) Nutcracker fractures of the cubiod. J Foot Surg 30(4):336–339
Miller SR, Handzel C (2001) Isolated cuboid fracture. A rare occurrence. J Am Podiatr Med Assoc 91(2):85–88
Main BJ, Jowett RL (1975) Injuries of the midtarsal joint. J Bone Joint Surg Br 57:89–97
Sangeorzan BJ, Swiontkowski MF (1990) Displaced fractures of the cuboid. J Bone Joint Surg Br 72:376–378
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 547–562
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Manoj-Thomas, A., Gadgil, A. Nutcracker fracture of the cuboid: a case report. Eur J Orthop Surg Traumatol 16, 178–180 (2006). https://doi.org/10.1007/s00590-005-0045-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00590-005-0045-0