Nutcracker fracture of the cuboid : Management and results

Published online: Apr 27 2012

Guangrong YU, Tao YU, Yunfeng YANG, Bing LI, Feng YUAN, Jiaqian ZHOU

From the Affiliated Tongji Hospital of Tongji University, Shanghai, China


Nutcracker fractures of the cuboid are rare and often missed at an initial visit. They can be difficult to manage and convey a high risk of long-term pain in the foot. During the last six years, 6 recent cuboid fractures in 6 patients were treated at our hospital by open reduction, allogeneic bone grafting (where necessary) and internal fixation. Shortening of the lateral column of the foot existed in all these fractures. At the time of follow-up the results concerning pain and function were good in 2 and fair in 4 patients. We recommend open treatment for cuboid fractures with shortening of the lateral column of the foot or articular displacement of more than 1 mm.