A 62-year-old woman with severe seizure disorder presented with right ankle and foot pain after being found down, presumably following a seizure recurrence. Imaging showed an acute comminuted fracture of the anterolateral aspect of the right calcaneus, as well as an acute avulsion fracture of the right navicular tuberosity at the site of insertion of the tibialis posterior tendon. This fracture...

Nutcracker fractures of the cuboid are rare and often missed at an initial visit. They can be difficult to manage and convey a high risk of long-term pain in the foot. During the last six years, 6 recent cuboid fractures in 6 patients were treated at our hospital by open reduction, allogeneic bone grafting (where necessary) and internal fixation. Shortening of the lateral column of the foot exi...

It has long been an accepted principle in medicine that the healing rate of fractures is preset and cannot be influenced by external means. The recent publicity about Wayne Rooney and his fractured 4 metatarsal and cuboid has highlighted the fact that, given the optimum circumstances, fractures can be made to heal faster than normal. It may be argued that, rather than causing the fracture to he...

Because of the complexity of the architecture of the foot radiographic diagnosis is often difficult and injury sometimes unrecognised. Dislocations may be missed on plain radiography because in two dimensions it is difficult to appreciate displacement ofa single bone or disruption of its articulation. Moreover, isolated tarsal dislocations are uncommon and unfamiliarity alone may contribute to ...

CONTEXT Cuboid syndrome is thought to be a common source of lateral midfoot pain in athletes. EVIDENCE ACQUISITION A Medline search was performed via PubMed (through June 2010) using the search terms cuboid, syndrome, subluxed, locked, fault, dropped, peroneal, lateral, plantar, and neuritis with the Boolean term AND in all possible combinations. Retrieved articles were hand searched for addi...

Injuries involving the midtarsal joint, which are frequently misdiagnosed, have been studied to clarify the mechanism, classification and treatment. The necessity for routine antero-posterior, lateral and oblique radiographs is emphasised. Seventy-one injuries have been classified according to the direction of the deforming force:medial, longitudinal compression, lateral, plantar and crush type...