A Case Report of Isolated Cuboid Nutcracker Fracture

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 o...

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Main Authors: Takaaki Ohmori, Shinichi Katsuo, Chiaki Sunayama, Katsunori Mizuno, Tomohiro Ojima, Kotaro Yamakado, Tomonari Ando, Shin Watanabe, Seigaku Hayashi, Hiroyuki Tsuchiya
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2016/3264172
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author Takaaki Ohmori
Shinichi Katsuo
Chiaki Sunayama
Katsunori Mizuno
Tomohiro Ojima
Kotaro Yamakado
Tomonari Ando
Shin Watanabe
Seigaku Hayashi
Hiroyuki Tsuchiya
author_facet Takaaki Ohmori
Shinichi Katsuo
Chiaki Sunayama
Katsunori Mizuno
Tomohiro Ojima
Kotaro Yamakado
Tomonari Ando
Shin Watanabe
Seigaku Hayashi
Hiroyuki Tsuchiya
author_sort Takaaki Ohmori
collection DOAJ
description 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.
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spelling doaj-art-43bff3db6e9a43e08df192d11893a15c2025-08-20T02:05:49ZengWileyCase Reports in Orthopedics2090-67492090-67572016-01-01201610.1155/2016/32641723264172A Case Report of Isolated Cuboid Nutcracker FractureTakaaki Ohmori0Shinichi Katsuo1Chiaki Sunayama2Katsunori Mizuno3Tomohiro Ojima4Kotaro Yamakado5Tomonari Ando6Shin Watanabe7Seigaku Hayashi8Hiroyuki Tsuchiya9Department of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, JapanDepartment of Orthopedic Surgery, Graduate School of Medical Science, Kanazawa University, Takaramachi 13-1, Kanazawa, Ishikawa 920-8641, JapanIsolated 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.http://dx.doi.org/10.1155/2016/3264172
spellingShingle Takaaki Ohmori
Shinichi Katsuo
Chiaki Sunayama
Katsunori Mizuno
Tomohiro Ojima
Kotaro Yamakado
Tomonari Ando
Shin Watanabe
Seigaku Hayashi
Hiroyuki Tsuchiya
A Case Report of Isolated Cuboid Nutcracker Fracture
Case Reports in Orthopedics
title A Case Report of Isolated Cuboid Nutcracker Fracture
title_full A Case Report of Isolated Cuboid Nutcracker Fracture
title_fullStr A Case Report of Isolated Cuboid Nutcracker Fracture
title_full_unstemmed A Case Report of Isolated Cuboid Nutcracker Fracture
title_short A Case Report of Isolated Cuboid Nutcracker Fracture
title_sort case report of isolated cuboid nutcracker fracture
url http://dx.doi.org/10.1155/2016/3264172
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