If you want to know about cuboid bone fracture or cube bone, if you want to know why and how cuboid bone fracture occurs and how and by what mechanism, and if you want to know what are the symptoms of cuboid bone fracture, we recommend that you read this article.
Do you know where the cuboid bone is located in your skeleton? Do you know why the cuboid bone damage occurs and what are the symptoms and what are the treatment options for fractures in the cuboid bone? To find the answers to the above questions, it is recommended that you read our article.
The cuboid bone that we want to talk about in this article about fractures and injuries is sometimes called the cube bone of the bald bone. This bone is located in the middle of the outer part of our ankle. To understand the damage that can be done to this cube-shaped bone, we first need to know about the anatomy of the ankle and the location of its bones. In this way, understanding the points related to ankle bone injuries and fractures will become more tangible.
In this section, it should be noted that people who come to the doctor with a complaint of ankle problems usually raise one or more of the following complaints:
They complain of swelling following an injury to their foot, or they clearly complain of signs and symptoms such as restricted movement on land and bruising in this area.
Anatomy of the ankle
Doctors believe that one of the most stable joints in the human body is the human ankle joint. In fact, the junction of our leg and foot is called the ankle joint. This joint carries a lot of forces during life.
It is said that when we walk, a force equivalent to one and a half times our weight is applied to our ankle. The force exerted while running is equal to 8 times our weight. Despite enduring all this pressure, this joint is very strong and durable. This stable and durable joint must definitely have a very precise structure that can withstand these forces. In this section, we want to talk about the bone anatomy of the ankle and the bones that have participated in the structure of the ankle. Cubic bone or cuboid bone including the bones in the second row of our ankle bones.
The human ankle is made up of tibia and fibula bones at the top. A joint is formed between these two tibia bones at the bottom of the leg, which doctors call the lower tibiofibular joint. One of the interesting things about the anatomy of our ankle is that when the bones of the tibia and fibula come together in the area of our ankle, a concave surface is formed. Above this sunken surface is the lower surface of the tibia, which is called the plafond. On either side of it are our inner and outer ankles.
Inside the above indentation is the talus or humerus, which is one of the first tier bones of our ankle.
The juxtaposition of these three bones forms a new joint, called the talocrural joint, or ankle joint, or the Mortis joint.
Our ankle joint is a hinged joint. The fourth bone that forms our ankle is the heel bone or calcaneus. This bone is located below the talus. The joint between the two is called the subtalar joint. The lower heel bone is the lowest bone in the body. As we walk, the force of our weight is transferred to it.
If we want to offer a more practical anatomy, we must say that when we talk about the foot in medicine, we mean from the ankle to the toes.
To understand the general ossification of the foot, physicians divide it into three parts:
Ankle and toe the first part of our discussion is the anatomy of the ankle bones. In medicine, the ankle is called the tarsus. The wrist bones can withstand a lot of pressure, so it should be stronger and bigger than the wrist bones. The ankle bones are bulky, cube-shaped, or six-sided in order to withstand heavy loads and forces.
The tibia and fibula bones of our leg are connected at the bottom, and on the other hand, they are also articulated with the talus bone in the ankle. The body weight is first transferred to the talus bone via the tibia through the ankle joint. The talus bone, on the other hand, joins the heel bone with the calcaneus and the rest of the bones that make up the ankle. The body weight is then transferred to the talus bone via the tibia through the ankle joint.
In talus fractures, the muscle in the back of the leg may be torn.
The heel bone is said to be the largest and longest bone in the ankle.
This bone makes the heel protrude. It is said that if we draw an axis along this bone, the axis will tend forward, up and out.
The heel bone is articulated at the front with the cube or cuboid, and at the top it is articulated with the talus heel. The heel bone has 6 upper and lower anterior dorsal external and internal surfaces.
If a fracture occurs in the heel bone, it is usually associated with injuries to adjacent joints. Fractures of the heel bone may occur inside and outside the joint. When these fractures occur, the person cannot bear the weight on the affected foot and is in great pain.
Sometimes it is necessary to dry and immobilize the relevant joints and even reduce the patient’s pain and discomfort.
The next bone of our ankle is a navicular or boat-shaped bone. The transverse diameter of this bone is larger than the diameter of the posterior front of this bone. This bone is located on the inside of our ankle and has six anterior, posterior, lower, upper, outer and inner faces. From a clinical point of view, the bulge in this bone is removed when the muscle in the back of the leg contracts sharply.
The next bone is called the cuboid, or cube-shaped bone. This bone actually forms the lower part of the lower row of ankle bones. It is located in front of the heel bone and behind the metatarsals of the fourth and fifth toes.
It has 6 levels. Regarding the cuboid bone, we must say that due to the location of the cuboid bone, bone fractures are less common than other bones of the wrist and sole of the foot.
In the ankle, the cuneiform bones or conifers are located in front of the boat or navicular bone and are located on three inner, middle and outer surfaces.
Ankle Fractures : These fractures are common fractures that occur in our lower limbs. They may break one or more of the bones involved in the construction of the ankle joint. In addition, bone fractures may cause ligament damage. It is said that in ankle fractures, the greater the number of bones that have been fractured or the more damage the ligament has caused, the more unstable the fracture and the more unstable the injured ankle.
Let’s see what causes ankle fractures
The most important causes that cause one or more ankle bones to break are:
- Blows to the foot
- These motor vehicle crashes
- Sprains and severe ankle sprains
In any ankle fracture, in addition to the ankle joint, another joint will be involved. This joint is actually the junction of the lowest part of the fibula and tibia and is called syndesmosis.
The two bones of the fibula and the tibia are connected very tightly by ligaments in the syndromic area.
Symptoms of an ankle fracture
The clinical signs and symptoms of an ankle fracture may look very similar to a simple ankle sprain, so it is important that we do not consider any ankle sprain normal and that any case of ankle sprain should be examined by a doctor. When fractures and injuries are very severe, the most important symptom that occurs in a person is very severe and sudden pain.
Swelling, bruising, and hemorrhage are common, and the person is sensitive to pressure when touching and applying pressure to the injured area and is unable to weigh the injured foot. In severe cases, the external deformity of the ankle joint is also evident.
Diagnosing Ankle Fractures When a doctor sees the injured foot and asks the patient for a history, injury, symptoms, and manifestations, the most important tool for diagnosing ankle fractures is to use a plain X-ray image. CT scans and MRIs may be needed for both better diagnosis and planning for treatment. Treatment for different ankle bone fractures will vary depending on the location of the fracture.
Treatment of ankle fractures
When an ankle bone fracture occurs depends on where the fracture was?
Which bone is broken? How many parts are broken? Are the parts displaced or not?
What is the instability of the broken parts? Is there any damage to other joints or other ligaments?
According to the above, the type of treatment for ankle fracture is determined by the doctor.
What is the cause of cuboid bone fractures?
There are two types of cuboid structures:
- Patients presenting with traumatic fractures of this bone.
- Follow up for stress cuboid fractures
Traumatic injuries and fractures of the cuboid bone occur when an injury occurs to the foot, such as during a fall accident.
A force such as a nut cracker crushes the cuboid usually in the event of an accident with a motor vehicle and a sports or novel injury in which a person falls from a height.
Usually, a person with a cuboid bone injury and fracture cannot weigh on the injured leg. This inability to weigh is an important sign and manifestation of a cuboid bone fracture. There may also be bruising at the site of the injury, and the person may feel pain when touching and pressing on the affected area.
The doctor can diagnose a fractured ankle bone by taking a history and physical examination and examining the accompanying symptoms and manifestations along with X-rays of the ankle.
Treatment of cuboid fractures
Usually, surgery will be needed because of the type of injury and the mechanism of bone damage (in traumatic cuboid fractures). Usually, screws and plaques are also sometimes needed with a special device called an external fixator to connect broken bone parts.
Stress fractures of the cuboid bone usually occur in athletes and on the inner surface of the bone because the inner surface of the bone is usually weak and can lead to minor cracks.
And for these stress fractures, it usually takes 4 to 6 weeks to treat with splints or ankle sprains.
What Happens After Cuboid Fracture Surgery? It is said that most patients can start exercising within 6 to 12 months after bone fracture surgery and the next point is that among the complications that people will face are the early manifestations of ankle arthritis and its accelerated progression.