Cuboid syndrome and the significance of midtarsal joint stability

Treatment of Cuboid Syndrome Secondary to Lateral Ankle Sprains: A Case Series

“…Pain is specifically located in the region of the calcaneocuboid joint (plantar or dorsal surface) and tenderness is often noted with palpation ( Figure 1). 1,9,13 Edema, redness, and/or ecchymosis may be present. 9,13 Gait is typically antalgic, with the most pain present during the push-off phase of the gait cycle.…”

“…1,9 Empirically we have observed that the pain localized over the anterior talofibular and calcaneofibular ligaments gradually subsides, while pain in the calcaneocuboid joint region remains unchanged or worsens. Pain is specifically located in the region of the calcaneocuboid joint (plantar or dorsal surface) and tenderness is often noted with palpation ( Figure 1).…”

“…1,5,10,13 Cuboid syndrome has been reported as difficult to recognize and is often misdiagnosed or improperly managed. 1,9,13 According to several authors, cuboid syndrome may result from a plantar flexion/inversion ankle sprain and may be a source of pain. 1,12,13 It is reported that up to 4% of all athletes with foot problems present with a cuboid syndrome.…”

“…1,9,13 According to several authors, cuboid syndrome may result from a plantar flexion/inversion ankle sprain and may be a source of pain. 1,12,13 It is reported that up to 4% of all athletes with foot problems present with a cuboid syndrome. 13 It appears that the occurrence of cuboid syndrome in professional ballet dancers may be higher, accounting for up to 17% of reported foot and ankle injuries in this population.…”

“…9 Currently, there are no reported reliable diagnostic tests or imaging techniques that can identify cuboid syndrome. 1,7,9,12,13 Consequently, the diagnosis is based on history, mechanism of injury, clusters of signs and symptoms, differential diagnosis, high index of suspicion, and clinical expertise.…”