You are here

Cuboid Fracture S92.213A 825.23

 Cuboid tarsal bone xray

synonyms: nutcracker fracture

Cuboid Fracture ICD-10

A- initial encounter for closed fracture

B- initial encounter for open fracture

D- subsequent encounter for fracture with routine healing

G- subsequent encounter for fracture with delayed healing

K- subsequent encounter for fracture with nonunion

P- subsequent encounter for fracture with malunion

S- sequela

Cuboid Fracture ICD-9

  • 825.23 Cuboid fracture; closed
  • 825.33 Cuboid fracture; open

Cuboid Fracture Etiology / Epidemiology / Natural History

  • Fractures occur with the forefoot everted on hindfoot pinching cuboid between anterior calcaneus and bases of 4th and 5thmetatarsals.
  • Untreated displaced / compression fractures can lead to relative shortening of the lateral column, planus and abduction deformities of the midfoot and chronic pain.

Cuboid Fracture Anatomy

  • Tranvsere Tarsal joint (Chopart's Joint) = Cuboid articulations with the calcaneous proximally and the talus and navicular medially.

Cuboid Fracture Clinical Evaluation

  • foot pain, unable to bear weight
  • tenderness and swelling over lateral midfoot

Cuboid Fracture Xray / Diagnositc Tests

  • Xray: A/P, Oblique, Lateralfoot views. A/P, lateral foot often appear normal. Best seen on oblique view.
  • CT: may be useful for fractures poorly seen on plain films.

Cuboid Fracture Classification / Treatment

  • Avulsions: common due to numerus capsular and ligamentous attachments to the cuboid.
    -Treatment: 5-7 days NWB, elevation followed by progressive weight bearing and functional rehab.
  • Displaced / Compression fractrues =open reduction and internal fixation and possible bone grafting is necessary to prevent the development of late painful arthritis (Sangeorxan BJ, JBJS 1990;72Br:376).

Cuboid Fracture Associated Injuries / Differential Diagnosis

  • Navicular Fracture
  • Lisfranc Fracture
  • Talar head fracture
  • Navicular stress fracture

Cuboid Fracture Complications

  • Stiffness
  • Nonuion
  • Osteonecrosis
  • Deformity
  • Postraumatic Arthritis

Cuboid Fracture Follow-up Care

  • NWB for 3 months
  • Semirigid custom-molded arthosis

Cuboid Fracture Review References

  1. Borrelli J, JAAOS 2012;20:472
  2. Hunter JC, Sangeorzan BJ:  A nutcracker fracture:  Cuboid fracture with an associated avulsion fracture of the tarsal navicular.  Am J Roentgenol 1996;166:888.
  3. Sangeorzan BJ, Swiontkowski MF:  Displaced fractures of the cuboid.  J Bone Joint Surg 1990;72B:376-378.



The information on this website is intended for orthopaedic surgeons.  It is not intended for the general public. The information on this website may not be complete or accurate.  The eORIF website is not an authoritative reference for orthopaedic surgery or medicine and does not represent the "standard of care".  While the information on this site is about health care issues and sports medicine, it is not medical advice. People seeking specific medical advice or assistance should contact a board certified physician.  See Site Terms / Full Disclaimer