The cuboid is a square bone on the outside of the foot. It connects the fourth and fifth metatarsal to the heel bone. Fractures to the cuboid are a less common injury that presents to the office.

What causes Cuboid Fractures?

Patients with a cuboid fracture present with two types: the one that occurs from trauma; and the second is the type that occurs from stress. Traumatic cuboid fractures typically occur when a patient has an injury that causes the foot to buckle crushing the cuboid like a “nut-cracker”. These injuries are often seen during motor vehicle accidents, athletic injuries, and when patients misstep off of a height.

What are the symptoms of a Cuboid Fracture?

A painful inability to bear weight is one of the most common symptoms of a cuboid bone fracture. Local tenderness or bruising over the cuboid is also generally present.

How is a Cuboid Fracture evaluated?

Your physician will generally be able to diagnose a cuboid fracture based on a physical exam and x-rays.

What are the treatment options for Cuboid Fractures?

This is often a surgical problem to fix because the shape of the bone has been destroyed. This is a challenging fracture that requires the use of bone graft, plates, screws, and sometimes a device called an external fixator for treatment. Cuboid stress fractures are fractures of the inside of the cuboid that occur most often in athletes. This occurs because the inside of the bone will fatigue and develop a small crack. This is treated using a cast boot and crutches for 4-6 weeks.

What can I expect after undergoing successful treatment for a Cuboid Fracture?

Patients can typically return to athletic activity 6-12 months after surgery; and many will develop arthritis around the cuboid.