Forum: Advice / Injuries

Cuboid Fracture
By boleyngrrl
On Thu Aug 27, 2015 07:31 PM

I have an MRI tomorrow, I've seen a surgeon that specializes in dancers as well as my sports med ortho, and I've been in PT for over a month.

I've had cuboid issues for over a year with 8 months off with little or no improvement (1 of those in a boot, 1 in a simple brace), 3 months back to dance after that just pushing through because I wanted to. I'm a month into another month off and the pain still isn't getting better. This time, the x-rays show a sliver, very hard to see but definitely there (like the FedEx arrow lol). PT isn't helping--I'm getting stronger but my pain isn't getting better. I haven't been booted (my ortho essentially looked at me and said what's the point). Snapping cuboid syndrome has also been thrown around but apparently that's really hard to diagnose--if anyone has any info or history with that I'm very interested in hearing from you. Mine does pop occasionally, but with no regularity that I can find. I'm getting very frustrated, especially when the advice prior to the 8 months was "quit" and going off dance didn't help.

Does anyone have any history with these? Any healing tricks or tips that worked for you? Suggestions?

Thank you so much in advance.

3 Replies to Cuboid Fracture

re: Cuboid Fracture
By ShadowLunaCatPremium member
On Fri Aug 28, 2015 02:20 PM
??? Maybe get a second opinion?
re: Cuboid Fracture
By boleyngrrl
On Tue Sep 01, 2015 09:05 PM
Edited by boleyngrrl (156471) on 2015-09-01 21:07:40 Forgot a few. >_
I'm on my 4th opinion traditional doctor-wise, I don't even know how many PT opinions.

Last Summer:
1st doc: Severe ankle Sprain, modified to Cuboid Syndrome at PT's pointing out
1st PT: pointed out Cuboid syndrome, referred to surgeon via 1st doc, uses taping to hold bone in position
1st AT: Modifies orthotics with little improvement
1st surgeon: Peroneal Tendinitis, 1st MRI, rejects cuboid syndrome, stress fractures found in 5th met, cuboid, and talus. Told to continue activity wearing a brace.
1st doc (part 2): Boot for 1 month, brace for 1 month after boot.
2nd AT: Referred to foot and ankle specialist after booting
Foot/ankle/knee specialist: Suggests modification of existing orthotics and dance shoes, notes some new things I hadn't noted before but aren't super relevant to this injury
1st AT: Modifies orthotics again. Some improvement.

Fast forward to this summer:
2nd doc: Fracture of Cuboid, possible compartment syndrome
2nd PT: Strengthening and stretching exercises--increase in strength but no decrease in pain (same pattern as last summer). Tapes.
3rd PT: No strengthening or stretching, complete shut down, manual treatments only. Tapes.
2nd PT: Ignored 3rd PT. Tapes.
2nd doc: Refers to surgeon at followup for further testing and for dance specialty. Decides there's no point in booting me now.
2nd surgeon: Doesn't think he wants to touch it surgical-wise, but wants an MRI. Mentions suspicion of snapping cuboid. Still waiting on the results of the MRI.
re: Cuboid Fracture
By boleyngrrl
On Wed Sep 09, 2015 09:16 PM
MRI results in: Avulsion fracture of the cuboid. Apparently part of a peroneal tendon pulled off a part of bone of the cuboid. Stress reactions basically all over the foot but that's the only fracture. Booted for a month and then following up.

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