Richard Buckley, Andrew Sands
These fractures are often associated with jumping sports, like basketball. The patient presents with either immediate or delayed pain.
On physical exam there will be pain and swelling. In the case of simple non-displaced fractures, or stress fractures, there is not likely to be foot deformity.
Plain x-rays will often show a linear fracture line in the central portion of the cuboid.
This x-ray shows combined injuries of the midfoot with a cuboid fracture (arrow).
If the x-rays do not show a fracture, but it is clinically suspected, CT and MRI are useful diagnostic tools.
This CT shows a comminuted cuboid fracture (arrow).