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Trauma
intermediate
X-Type

Cuboid Fractures

Foot and Ankle Trauma

A 32-year-old male presents following a fall from height, landing on his inverted plantarflexed foot. He complains of severe lateral midfoot pain and swelling. Physical examination reveals ecchymosis over the lateral midfoot, tenderness over the cuboid bone, and pain with passive abduction of the forefoot. Plain radiographs show a cuboid fracture with 4mm medial displacement and compression. CT scan reveals 30% articular involvement of the calcaneocuboid joint and a suspected associated Lisfranc injury. The lateral column appears shortened on weight-bearing radiographs. Regarding cuboid fractures:

Mark each as TRUE or FALSE

A

The "nutcracker fracture" mechanism involves compression of the cuboid between the calcaneus posteri...

B

Cuboid fractures are associated with Lisfranc injuries in 20-30% of cases, mandating careful clinica...

C

All cuboid fractures, regardless of displacement or articular involvement, should be treated surgica...

D

ORIF of displaced cuboid fractures typically requires bone graft (autograft or allograft) to restore...

E

The cuboid bone is the keystone of the lateral longitudinal arch and restoration of lateral column l...

Answer the questions to see explanations

Click T (True) or F (False) for each option