II. Epidemiology

  1. Midfoot, Tarsal Fractures are the least common Foot Fractures
    1. Strong mesh of ligamentous structures stabilize the midfoot and tarsal bones

III. Mechanism

  1. See Lisfranc Fracture
  2. See Tarsal Navicular Fracture
  3. See Tarsal Navicular Stress Fracture
  4. Cuboid Fracture
    1. Direct Trauma or crush injury
    2. Torsional force at midfoot
  5. Cuboid Fracture
    1. Crush injury from forced foot abduction (nutcracker Fracture)
    2. Chip Fractures, on the other hand, are minor Fractures by comparison

IV. Imaging: XRay in Cuboid or Cuneiform Fracture

  1. Weight-Bearing Three View Foot XRay (AP, Lateral and oblique)
    1. Repeat XRays every 2 weeks

V. Management

  1. See Lisfranc Fracture
  2. See Tarsal Navicular Fracture
  3. See Tarsal Navicular Stress Fracture
  4. Cuboid or Cuneiform Fracture
    1. Initial
      1. Short Leg Walking Cast or boot for 6 weeks
      2. Weight bearing as tolerated
    2. Next
      1. Hard soled shoe (or arch support with Orthotic) for another 6 weeks
    3. Orthopedic or podiatry referral indications
      1. Comminuted ot significantly displaced Fracture
      2. Fracture AND dislocation

VI. Complications

  1. Peroneus longus tendon dysfunction
    1. Secondary to scar formation with Cuboid or Cuneiform healing

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Related Studies

Ontology: Fracture of tarsal bone (C0281851)

Concepts Injury or Poisoning (T037)
SnomedCT 208675008, 269321006, 263245004
English fracture of tarsal bone, fracture of tarsal bone (diagnosis), Fracture;tarsal(s), Tarsal bone fracture, #Tarsal bone, Tarsal fracture, Fracture of tarsal bone, Fracture of tarsal bone (disorder), fracture; tarsal bones, tarsal bones; fracture, fractured tarsal(s)
Dutch fractuur; tarsalia, tarsalia; fractuur
Spanish fractura de hueso del tarso (trastorno), fractura de hueso del tarso

Ontology: Fracture of cuboid, foot (C0840729)

Concepts Injury or Poisoning (T037)
ICD10 S92.22
English Fracture of cuboid, foot, fracture; cuboid (ankle)
Dutch fractuur; os cuboideum (enkel)

Ontology: Fracture of cuneiform, foot (C0840730)

Concepts Injury or Poisoning (T037)
ICD10 S92.23
English Fracture of cuneiform, foot, fracture; cuneiform, foot, os cuneiforme, foot; fracture
Dutch fractuur; os cuneiforme, voet, os cuneiforme, voet; fractuur