Stress fractures of the foot and ankle, part 2: site-specific etiology, imaging, and treatment, and differential diagnosis.

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Abstract

[Indexed for MEDLINE] 5. JBJS Rev. 2020 Apr;8(4):e0173. doi: 10.2106/JBJS.RVW.19.00173. Fractures of the Cuboid Bone: A Critical Analysis Review. Engelmann EWM(1), Rammelt S(2), Schepers T(1). Author information: (1)Trauma Unit, Amsterdam University Medical Center, Amsterdam, the Netherlands. (2)University Center for Orthopaedics and Traumatology, University Hospital Carl Gustav Carus, TU Dresden, Dresden, Germany. Cuboid fractures rarely occur in isolation, and a high index of suspicion for the presence of Chopart, Lisfranc, or complex midfoot injuries should be raised. The cuboid is the cornerstone of the lateral column and acts as a bridge between the lateral column and the transverse plantar arch. Its most important role is maintenance of lateral column length and associated motion in the midtarsal and tarsometatarsal joints. To date, a classification system that is validated for clinical practice (i.e., guidance for management and prediction of outcome and prognosis) is lacking. The principles of operative treatment are restoration of articular congruity, lateral column length, and stability of the Chopart and Lisfranc joints. Nonoperative management is reserved for nondisplaced articular fractures (