Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Ankle / Foot
Abstract number: 24247
RADIOGRAPHIC ANALYSIS IN CUBOID FRACTURES
Marlon COULIBALY 1 , Clifford JONES 2 , Debra SIETSEMA 2 , James RINGLER 2 ,
Terrence ENDRES 2
1 Orthopaedic Research Fellowship, Grand Rapids Medical Education and Research
Center, Michigan State University; University Hospital Bergmannsheil GmbH,
Bochum (GERMANY), 2 Michigan State University, College of Human Medicine,
Department of Surgery, Grand Rapids (UNITED STATES)
Background: Cuboid fractures (CF) are uncommon and foot deformity is
underreported. The purpose of this study was to compare radiographic
measurements based on functional outcome after CF treatment.Methods: A
retrospective analysis was undertaken on 86 patients diagnosed with CF between
2002 and 2007 at a Level I teaching trauma center. Radiographic measurements
[Medial-Column-Length (MedCol), Lateral-Column-Length (LatCol), Lateral-
Talometarsal-Angle (LTM), Calcaneal-Pitch-Angle (LCP), Navicular-Coverage-Angle
(NCA), Cuboid- and Navicular-Ground-Distance (CD/ND)] were analyzed. Clinical
outcome was pain, level-of-activity (LOA), and shoe wear. Results: 68 patients with
72 fractures were included. Age averaged 40 (range 17-72) and BMI of 28.6 (range
17.5-48.9). AO/OTA-07 classification included 31 84-A and 41 84-B fracture pattern.
Pain was present in 40 patients. 23 patients had a changed LOA and 20 needed
customized shoe wear. Radiographic measures were MedCol 53±6mm, LatCol
32±6mm, LTM 4±9°, LCP 20±6°, NCA 9±7°, CD 25±6mm, a nd ND 40±8mm. 12 pes
planus (PPD) and 13 pes cavus deformities (PCD) were radiographically identified.
PPD had smaller measures for LTM and ND, but increased NCA (t-test, p