Surgical Management of a Pediatric Cuboid Nutcracker Fracture: A Case Report

JBJS Case Connect. 2021 Jul 22;11(3). doi: 10.2106/JBJS.CC.21.00121.


Case: Cuboid impaction fractures (nutcracker fractures) result from high-energy trauma and are exceedingly rare in children. We present a case of an 8-year-old boy who sustained a comminuted cuboid nutcracker fracture after a fall from height. The patient underwent open reduction and internal fixation with a locking plate. At 1 year postoperatively, lateral column length and articular congruency were maintained, and the patient return to full function and activity.

Conclusion: Cuboid nutcracker fractures in children are rare and can be successfully treated with open reduction and internal fixation with locking plates, with excellent radiographic and functional outcomes.

Publication types

  • Case Reports

MeSH terms

  • Bone Plates
  • Child
  • Foot Injuries* / surgery
  • Fracture Fixation, Internal
  • Fractures, Bone* / diagnostic imaging
  • Fractures, Bone* / surgery
  • Fractures, Comminuted* / surgery
  • Humans
  • Male