Operative technique for cuboid instability in an elite gymnast: case report

Calcaneocuboid Ligament Complex Reconstruction for Cuboid Syndrome in a 14-Year-Old Athlete: A Case Report

CASE

This is a case of a 14-year-old female athlete with cuboid syndrome who underwent calcaneocuboid ligament complex reconstruction using a palmaris tendon allograft that was passed through 2 parallel extra-articular dorsoplantar bone tunnels through the calcaneus and cuboid. She returned to high-impact activities within 6 months. Two-and-a-half years postoperative, she continues sports with only minor stints of pain relieved with rest.

CONCLUSION

Consensus regarding surgical treatment of cuboid syndrome has not been reached. This case report highlights a successful surgical technique for calcaneocuboid instability with potential for return to sports. We found 2 similar case reports in the literature.

Imaging Techniques for Assessment of Dynamically Unstable Sports Related Foot and Ankle Injuries

Foot and ankle instability can be seen both in acute and chronic settings, and isolating the diagnosis can be difficult. Imaging can contribute to the clinical presentation not only by identifying abnormal morphology of various supporting soft tissue structures but also by providing referring clinicians with a sense of how functionally incompetent those structures are by utilizing weight-bearing images and with comparison to the contralateral side. Loading the affected joint and visualizing changes in alignment provide clinicians with information regarding the severity of the abnormality and, therefore, how it should be managed.