Cuboplasty: A novel approach to management of traumatic cuboid fracture with impeding peroneal tendon imposition.
- Resource Type
- Article
- Authors
- Bala, Vikram A.; Foote, Gregory A.; Garcia, Morgan E.; Piraino, Jason A.
- Source
- Foot & Ankle Online Journal. 2020, Vol. 13 Issue 3, p1-9. 9p.
- Subject
- *VERTEBRAL fractures
*PERONEAL tendons
*CRUSH syndrome
*CALCIUM sulfate
*COMPRESSION fractures
*POSTOPERATIVE period
- Language
- ISSN
- 1941-6806
This study describes a minimally invasive operative technique commonly described for vertebral compression fractures. This was applied to a rare presentation of cuboid injury with peroneal tendon entrapment. A chart review was performed of a 35-year-old male following an all-terrain vehicle accident. The patient was subject to a dorsiflexion/inversion crush injury to the left foot. Initial radiographs from an outside facility were inconclusive for osseous abnormality. Upon presentation to the clinic, radiographs were concerning for compression fracture of the cuboid. An MRI revealed a comminuted fracture of the cuboid with entrapment of the peroneus longus tendon. The patient underwent peroneus longus tendoscopy in conjunction with percutaneous balloon kyphoplasty for reduction of the fracture and the interposed peroneal tendon. The cuboid fracture was then stabilized using injectable calcium sulfate bone cement. The patient experienced a timely return to function with significant pain improvement quantified by AOFAS scores obtained in the postoperative period. This study demonstrates the utilization of an innovative, minimally invasive operative technique in the foot and ankle. Through use of various imaging modalities and a novel procedure, the patient returned to previous levels of function. This unique practice offers advancement of current treatment methods. [ABSTRACT FROM AUTHOR]