These breaks occur at the metatarsal head and neck. Zone 3 (mid-shaft fracture or dancer’s fracture): Midshaft fractures usually result from trauma or twisting. They are less common and more difficult to treat than avulsion fractures. In this review, an update on diagnosis and management of cuboid fractures is presented.Ĭuboid Diagnosis Fracture Surgery Treatment. Jones fractures are caused by overuse, repetitive stress or trauma. Radiographic evidence can support the diagnosis. In the case of shortening of the lateral column > 3 mm or articular displacement > 1 mm, surgical management of the fracture is mandatory in order to avoid negative biomechanical and functional consequences for the foot and adverse effects such as arthritis and stiffness as well as painful gait. The diagnosis of a cuboid fracture can be established when there is a high index of suspicion secondary to significant swelling of the midfoot region and a positive history of direct or indirect trauma to the foot accompanied by local tenderness 3. Fractures of the cuboid can occur in isolation, but are often associated with other fractures and dislocations of the midfoot. Non-displaced isolated fractures of the cuboid bone can be effectively treated conservatively by immobilization and by avoiding weight bearing on the injured leg. The mechanism of most cuboid avulsion fractures is not clearly understood. It’s because contact sports involve movements that stress your limbs, such as: Suddenly changing direction. Cuboid fractures are classified as either avulsion or, less commonly, crush injury.14. The treatment of these injuries depends on the particular fracture characteristics. Contact sports like lacrosse, boxing and football, for example, are the most common causes of avulsion fractures. In this case, further investigation including magnetic resonance imaging or scintigraphy may be required. Causes of bone marrow edema include: Stress fractures. Bone marrow edema is an area of increased fluid inside the bone. Conventional radiographs do not always reveal occult fractures, which can be under diagnosed especially in children. Bone marrow is made up of bony, fatty, and blood cellproducing material. Clinical examination to diagnose these fractures should be detailed and the differential diagnosis, especially in the case of vague symptoms, should include the exclusion of all lateral foot pain causes. Cuboid fractures due to the particular bone anatomy and its protected location in the midfoot are rare, and they are usually associated with complex injuries of the foot. In fact, a cuboid fracture often is indicative of extended or complex midfoot injury, such as a navicular or cuneiform fracture, part of a Lisfranc or Chopart injury 6, or a combination (complex.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |