08
Jun
The cuboid is an unusual location for stress fracture because it is not weight bearing. It is likely that the patient would have to wear a walking boot or a cast and use crutches in order to enable some mobility.
An isolated stress fracture of the cuboid is most likely to occur in the lateral aspect of the cuboid.
Cuboid bone stress fracture. Stress fractures of the cuboid bone are very rare. As in our present case these fractures are seen mostly in ambitious sportsmen and women. The symptoms described are nonspecific.
The case history and a clinical examination in combination with a conventional x-ray picture should provide evidence of such a suspected fracture. A cuboid stress fracture is a condition characterized by an incomplete crack in the cuboid bone. The cuboid is the anatomical name given to one of the bones in the mid foot.
It is located at the outer aspect of the mid foot just in front of the ankle figure 1. An isolated cuboid stress reactionfracture is typically manageable by a primary care clinician who is knowledgeable and comfortable with fracture management podiatry sports medicine or orthopedics. Appropriately managed these stress fractures are among the quickest to heal as the cuboid has a generous vascular supply.
If a patient presents with an activity related injury to the midfoot and x-rays are negative a computed tomography scan can be helpful in diagnosing a cuboid stress fracture. Also computed tomography scans graphically show the fracture location and size in addition to tracking progressive bone changes during the healing process. Axial PD fat sat.
Bone marrow edema and a subtle fracture line are seen at the base of the cuboid. Bone marrow edema also is seen at the talar neck. Minimal effusion is noted at the ankle joint.
The cuboid is an unusual location for stress fracture because it is not weight bearing. 10 As a mechanism of this fracture Chen 10 hypothesized that because the peroneus longus tendon passes through the peroneal groove of the cuboid bone and the peroneal groove is the supporting point of the peroneus longus tendon repetitive pull of the peroneus longus tendon as it passes through the groove. About a year ago I had intense pain in my left foot.
After seeing a podiatrist and having a bone scan it was determined that I had a stress fracture in my cuboid bone. During that time I was in the Army and had already been diagnosed with plantar fascistis heel spur bone spur in my ankle and possible osteoarthritis in my midfoot. Hello therewell a cuboid bone fracture or cuboid stress fracture would usually take 8 weeks for you to start your daily activitieshowever return to sports or heavy activities would require a furthur 4-10 weekson an average for you to be like your pre fracture stage it would be 12 weeks.
A cuboid bone fracture rarely happens in isolation and other bones of the foot are usually involved. Many X-rays can miss a fracture of the cuboid bone making it difficult to diagnose and easy to confuse with a sprain or plantar fasciitis. It is not always possible to make an early diagnosis of this fracture since the initial radiographic finding and physical examination are often negative.
Considering the consequences of a missed fracture and avoiding unnecessary treatment bone scan might be useful in the early diagnosis of the stress fracture of the cuboid in young children. Cuboid stress fractures are fractures of the inside of the cuboid that occur most often in athletes. This occurs because the inside of the bone will fatigue and develop a small crack.
This is treated using a cast boot and crutches for 4-6 weeks. Cuboid stress fractures are less common than fractures in other tarsal bones such as calcaneus and navicular because the cuboid is not a weight-bearing bone8. These fractures may occur in both toddlers9-13 and adults814-17 and may be a result of overuse affecting athletes815 or military recruits18.
Stress fractures in early childhood are not uncommon. Classic toddlers fracture first described by Dunbar et al. Is a non-displaced spiral fracture of the tibiaAlthough tibia is the most commonly affected bone in toddlers stress fracture of calcaneus and metatarsals has also been reported 24Cuboid fracture on the other hand has thought to be rare.
Cuboid Bone Fracture Complications. The cuboid bone is located on the outside of the foot. If someone suffers a cuboid bone fracture there are serious complications that might result.
Many of these complications develop because the cuboid bone is. An isolated stress fracture of the cuboid is most likely to occur in the lateral aspect of the cuboid. The cause is likely multifactorial and may include compressive and tensile forces but plantar fascia dysfunction and age-related bone loss which are more prevalent in women may be additional contributing factors.
Cuboid stress fractures are less common than fractures in other tarsal bones such as calcaneus and navicular because the cuboid is not a weight-bearing bone 8. A cuboid stress fracture is triggered when the cuboid bone in the foot is damaged from repetitive activity. In most cases this will not shatter the bone however will cause it to break.
These cracks can become more severe if the exhausting activities that damaged the bone are continued after the damage is done. Symptoms of a cuboid bone fracture are. The most common symptom is the inability to bear weight.
Walking a hardship if even possible. Standing a one legged ordeal. Bruising overaround the cuboid.
Tenderness to the touch. Pain with a firmer touch. A cuboid stress fracture is a term for a mild and incomplete fracturebreak to the cuboid bone which is located on the outside edge of the mid foot just below the ankle.
The foot itself is made of three sections of different bones. A stress fracture in the cuboid bone would mean that all weight-bearing activity must stop until the fracture heals - often several weeks. It is likely that the patient would have to wear a walking boot or a cast and use crutches in order to enable some mobility.
Cuboid syndrome is the result of partial dislocation of the bones in the middle of the foot. Medically this is called subluxation of the midtarsal joint. Specifically cuboid syndrome develops.