Treatment of cuboid syndrome secondary to lateral ankle sprains: a case series

J Orthop Sports Phys Ther. 2005 Jul;35(7):409-15. doi: 10.2519/jospt.2005.35.7.409.


Study design: Case series.

Background: Plantar flexion/inversion ankle sprains are one of the most frequently occurring sports injuries. Cuboid syndrome, which is difficult to diagnose, may result from a plantar flexion/ inversion ankle injury and could become the source of lateral ankle/midfoot pain. The objective of this case series is to describe the examination, evaluation, and treatment of the cuboid syndrome following a lateral ankle sprain.

Case description: Seven patients were seen in our clinic 1 to 8 weeks following a lateral ankle sprain with a chief complaint of lateral ankle/midfoot pain. In these 7 patients, the presence of cuboid syndrome was identified independently by 2 examiners. Treatment consisted of a cuboid manipulation.

Outcomes: All 7 patients returned to sports activities following 1 to 2 treatments consisting of the "cuboid whip" manipulation. No recurrence of symptoms was reported upon immediate return to competition or during the remainder of the season (mean follow-up, 5.7 months; range, 2 to 8 months).

Discussion: Based on those 7 patients, our results suggest that patients who are properly diagnosed with cuboid syndrome and receive the cuboid manipulation can return to competitive activity within 1 or 2 visits without injury recurrence.

MeSH terms

  • Adolescent
  • Adult
  • Ankle Injuries / diagnosis
  • Ankle Injuries / rehabilitation*
  • Athletic Injuries / diagnosis
  • Athletic Injuries / rehabilitation*
  • Diagnosis, Differential
  • Female
  • Humans
  • Male
  • Manipulation, Orthopedic
  • Pain Measurement
  • Palpation
  • Sprains and Strains / diagnosis
  • Sprains and Strains / rehabilitation*
  • Syndrome