Mold with weight support.
Whenever a bone fracture is suspected, it is best to go to the hospital emergency room for an X-ray and to ensure that the injury has been treated properly. Treatment options for a cuboid bone fracture can range from wearing a cast or boot to surgery, although usually a weight-bearing cast or boot will suffice. Health care professionals often advise patients to remain step-free for three to six weeks or until the pain subsides.
Suspected bone fractures should be treated immediately.
Depending on the type and severity of the fracture, the patient will be given a non-weight-bearing or non-weight-bearing boot or cast. Typically, he or she is instructed not to put pressure on the injured foot for the first few days or weeks, until the medical professional feels that the fracture has healed enough to allow it to bear some weight.
If the healthcare professional advises the patient to use crutches, he or she should keep the injured foot off the ground at all times. After the patient is given permission, the foot can touch the ground when the crutches also touch the ground, as long as the pain is minimal. If the pain increases, the patient should stop putting any weight on the fractured foot until the pain subsides.
Often, X-rays do not detect cuboid bone fractures.
During the first 24 hours after an injury, the patient can help with treatment by elevating and applying ice to the injured foot. Over-the-counter anti-inflammatory medications should be taken to control the pain. Some medical professionals will advise range of motion exercises as the bone fracture heals. Whenever the foot starts to hurt again, the activity should be stopped until the pain subsides.
Crutches may be recommended for a cuboid bone fracture to keep the injured foot off the ground at all times.
A cuboid bone fracture rarely occurs in isolation, and other bones in the foot are often involved. Many radiographs may miss a cuboid bone fracture, making it difficult to diagnose and easy to mistake for a sprain or plantar fasciitis. These injuries are considered midfoot fractures and usually occur as a result of a violent injury or the foot being crushed. Fractures can be an avulsion fracture, where a trapped tendon or ligament pulls a part of the bone away, or a body fracture.
A person with a cuboid bone fracture may need to keep their foot off the ground for up to six weeks.
Although uncommon, a nutcracker fracture of the cuboid is sometimes seen in children riding horses whose foot has become caught in the stirrup. Nutcracker fracture occurs when the cuboid is compressed between the calcaneus and the fourth and fifth metatarsals. The usual treatment for this fracture is internal fixation and bone grafting, if the doctor feels it is necessary. It is important to treat this type of cuboid fracture correctly as there is a risk that incorrect treatment could cause permanent disability.