Types
1. Capsular avulsions
2. Body / Nutcracker fracture
Nutcracker fracture
Epidemiology
- rare
Mechanism
- forced eversion / abduction of forefoot
- cuboid crushed between 4th and 5th MT and calaneum
Pathology
- displaced cuboid fracture with subluxation of tarsus
- may interfere with peroneal tendons
- shortens lateral border of foot
Diagnosis
Oblique xray
- foot 30o medial
Management
- ORIF and bone graft
- rarely need bridging external fixation