Cuboid dislocations: Short and long term results and a review of the literature.
Harry Cosham, Kenneth Lupton, David Machin et al.
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Case in brief
This report details three cases of isolated cuboid dislocation, notably in two professional rugby league players who sustained the injury during a tackle involving external rotation of the midfoot. The dislocations were not reducible through closed methods, necessitating open reduction and wire stabilization. Both players returned to professional play, with one showing asymptomatic post-traumatic arthritis on X-ray six years post-injury.
What made this case unusual
The dislocation was easily overlooked on X-rays, highlighting the importance of CT imaging for accurate diagnosis.
Diagnostic / clinical pearl
Clinicians should consider CT imaging for suspected cuboid dislocations, as they may be missed on standard X-rays.
Why it matters
Understanding the potential for long-term complications, such as post-traumatic arthritis, is crucial even when patients are asymptomatic.