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Case Reports in Orthopedics
Volume 2016, Article ID 3264172, 5 pages
http://dx.doi.org/10.1155/2016/3264172
Case Report

A Case Report of Isolated Cuboid Nutcracker Fracture

1Department of Orthopedic Surgery, Fukui General Hospital, 58-16-1 Egami, Fukui, Fukui 910-8561, Japan
2Department of Orthopedic Surgery, Graduate School of Medical Science, Kanazawa University, Takaramachi 13-1, Kanazawa, Ishikawa 920-8641, Japan

Received 16 March 2016; Revised 20 April 2016; Accepted 10 May 2016

Academic Editor: Taketoshi Yasuda

Copyright © 2016 Takaaki Ohmori et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.