Examination and Treatment of Cuboid Syndrome

Abstract

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 additional relevant references.Results:Cuboid syndrome is thought to arise from subtle disruption of the arthrokinematics or structural congruity of the calcaneocuboid joint, although the precise pathomechanic mechanism has not been elucidated. Fibroadipose synovial folds (or labra) within the calcaneocuboid joint may play a role in the cause of cuboid syndrome, but this is highly speculative. The symptoms of cuboid syndrome resemble those of a ligament sprain. Currently, there are no definitive diagnostic tests for this condition. Case reports suggest that cuboid syndrome often responds favorably to manipulation and/or external support.Conclusions:Evidence-based guidelines regarding cuboid syndrome are lacking. Consequently, the diagnosis of cuboid syndrome is often based on a constellation of signs and symptoms and a high index of suspicion. Unless contraindicated, manipulation of the cuboid should be considered as an initial treatment.

Ergonomic Assessment of Computer Workstation At Federal University of Technology Owerri Nigeria

“…This may allow the cuboid bone to sublux or partially move out of its normal alignment relative to the adjacent foot bones. This subtle disruption of the arthrokinematics of the Calcaneocuboid joint suggests the pathomechanic mechanism of cuboid subluxation (Durall, 2011).…”

“…Cuboid subluxation is thought to arise from subtle disruption of the artherokinematics or structural congruity of the Calcaneocuboid (CC) joint (Durall, 2011). Weight, prolonged sitting, certain stress and movements of the foot and ankle places a lot of stress on the cuboid bone through the Peroneus longus muscles.…”

Adolescent with Foot Pain

“…Because of normal variations between the cuboid and its surrounding structures, traditional radiographs, computerized tomography, and magnetic resonance imaging are generally non-diagnostic for this injury 1–8. Additionally, midtarsal joint abnormalities that cause pain while weight bearing may be missed on non-weight bearing films 2. Imaging, however, is often ordered even when suspicion for cuboid subluxation is high to rule out other causes of foot pain.…”

Cuboïdsyndroom: lastig te diagnosticeren, maar conservatief goed te behandelen

“…1,2,4,5,7 Bij beide wordt In de literatuur bestaat een inconsistentie in terminologie met betrekking tot het cuboïdsyndroom. Zo wordt het ook benoemd als subluxation cuboid, locked cuboid, dropped cuboid, cuboid fault syndrome, laterale plantaire neuritis en peroneal cuboid syndrome.…”

“…6 Alhoewel het precieze pathomechanisme van het cuboidsyndroom nog niet is verklaard, zijn er wel theorieën over de oorzaak en ontstaanswijze. 1,2 Aansluitend op deze theorieën zijn behandelmethoden beschreven. 1,2…”