The Nutcracker Fracture of the Cuboid by Indirect Violence

Lisfranc Injuries

“…15 These fractures include Lisfranc Injuries the nutcracker fracture, whereby the cuboid is crushed between the fourth and fifth metatarsal bases and the anterior calcaneus. Although more common in higherenergy injuries, this injury pattern has also been described in equestrian injuries 16,17 and is critical to recognize as operative fixation is required and best performed for the lateral column first to restore length and aid in reduction of the middle and medial Seybold & Coetzee columns. 9 Another variant of the Lisfranc complex injury is the longitudinal instability pattern, in which diastasis is present between the medial and middle cuneiforms and the second TMT joint may remain stable.…”

Health Survey of Children From Rarotonga, Cook Islands: Iii. Skeletal Age and Skeletal Observations

“…HERMEL, GERSHON-COHEN and JONES (1953) have shown that they are a general manifestation of disordered growth of all types, and do not result solely from growth arrest. Medical histories are not available for these children, hence the cause of these lines cannot be determined.…”

“…The disturbed tubulation found in the Rarotongans may be an example of Pyle's disease, familial metaphyseal dysplasia (PYLE, 1931 ; BAKWIN and KRIDA, 1937 ;HERMEL, GERSHON-COHEN and JONES, 1953 ;NEUHAUSER, 1953). Most of the Rarotongans do not fit the classic pattern of the disease, however, since they are of normal stature and leg length, while Pyle's disease patients are tall in stature due to elongation of the leg bones.…”

Anatomic Reconstruction of Malunited Chopart Joint Injuries

“…Forced abduction of the forefoot leads to lateral stress at the mid-tarsal joint and fractures of the anterior process of the calcaneum and the cuboid. The latter had earlier been termed ''nutcracker'' fractures by Hermel and Gershon-Cohen [5]. The authors had already noted that these fractures are rarely isolated because of the considerable force that is needed to produce them.…”

“…We have, therefore, adapted a descriptive classification of Chopart joint injuries related to the site of bony injury which is easy to detect [8]. Depending on the affected bone(s), the fractures and dislocations at the Chopart joint are termed: (1) purely ligamentous, (2) transtalar, (3) transcalcanear, (4) transnavicular, (5) transcuboidal, and (6) combinations of (2) to (5). In our experience, the distal bones (4,5) are fractured twice as much as the proximal bones (2,3), and every combination of bony injury may be observed, including fractures at all four bones [6].…”