{"id":14182,"date":"2023-01-24T10:52:43","date_gmt":"2023-01-24T09:52:43","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=condition&p=14182"},"modified":"2026-08-13T13:22:04","modified_gmt":"2026-08-13T11:22:04","slug":"cuboid-syndrome","status":"publish","type":"condition","link":"https:\/\/www.physiotutors.com\/conditions\/cuboid-syndrome\/","title":{"rendered":"Cuboid Syndrome"},"featured_media":14183,"template":"","tracking_tag":[2198,2313],"class_list":["post-14182","condition","type-condition","status-publish","has-post-thumbnail","hentry","tracking_tag-ankle-foot","tracking_tag-lower-extremity"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":14183,"background_image_alt_text":"Cuboid Syndrome"},"heading":"Cuboid Syndrome after lateral ankle sprain | Diagnosis & Treatment","subheading":"Ankle\/Foot","content_editor":"","button_type":"url","button_label":"","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"https:\/\/www.physiotutors.com\/products\/the-manual-therapy-app\/","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Introduction & Pathomechanism","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Clinical Picture & Examination","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Treatment","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Manual Therapy App","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":22104,"button_anchor":"","button_url":"","button_file":""},"button_description":""},{"acf_fc_layout":"content-with-sidebar","content_editor":"

Cuboid Syndrome after lateral ankle sprain | Diagnosis & Treatment<\/h2>\r\nCuboid syndrome has also been referred to in the literature as subluxed cuboid, locked cuboid, dropped cuboid, cuboid fault syndrome, lateral plantar neuritis, and peroneal cuboid syndrome (Patterson et al. 2006<\/a>)\r\n
\r\n\r\nAnkle sprains account for a big portion of lower extremity injuries with up to 40% of cases having residual symptoms.\u00a0There is a hypothesis that the cuboid may be responsible for those cases in which lateral ankle pain persists. Newell et al. (1981)<\/a> report that 4% of all athletes with foot problems present with cuboid syndrome.\u00a0 It appears that the condition has a higher prevalence in professional ballet dancers with up to 17% of reported foot and ankle injuries (Marshall et al. 1992<\/a>).\r\n
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Pathomechanism<\/strong><\/h3>\r\nThe hypothesis for cuboid syndrome is based on history, clusters of signs and symptoms, differential diagnosis, clinical expertise, and of course mechanism of injury.\u00a0 It\u2019s assumed that during a severe initial inversion trauma, torsion between the cuboid and navicular bone and cuneiform as well as the calcaneus leaves the cuboid in a relatively supinated position.\"Cuboid"},{"acf_fc_layout":"content-with-sidebar","content_editor":"

Clinical Picture & Examination<\/h3>\r\n
<\/div>\r\nThis disposition remains painful, specifically over the calcaneocuboid joint, while tenderness over lateral ankle ligaments subsides.\r\nPatients display antalgic gait with an increase in pain during the push-off phase and If pain allows for mobility testing, joint play is absent.\r\n\r\n \r\n\r\nExamination<\/strong><\/em>\r\n\r\nAs previously mentioned differential diagnosis is necessary and the first step in assessing ankle sprains should be to exclude a fracture by using the Ottawa Ankle rules<\/a>.\r\nMidtarsal mobility testing in supination and adduction may reproduce the patient's symptoms. According to Jennings et al. (2005)<\/a>, pronation and abduction may also elicit pain occasionally. The cuboid is unique as it is the only bone in the foot that articulates with both the tarsometatarsal joint (Lisfranc complex) and the midtarsal joint (Chopart\u2019s Joint), and is the only bone linking the lateral column to the transverse plantar arch (Patterson et al. 2006<\/a>). Therefore, it makes sense to assess both the Line of Lisfranc and the Line of Chopart during mobility testing.\r\n
\r\n\r\n[embed] https:\/\/www.youtube.com\/watch?v=0ugLq8Ns5VU[\/embed]\r\n\r\n<\/div>\r\nFurthermore, the same authors recommend performing additional functional testing in the form of heel\/toe raises or single-leg hopping. These activities are commonly difficult or impossible to perform due to pain.\r\nUnfortunately, radiological evaluation does not seem to have added value in the diagnosis of Cuboid syndrome (Mooney et al. 1994<\/a>).\r\n\r\nJennings et al. (2005)<\/a> summarize the clinical findings as follows:\r\n\r\nSubjective findings<\/em><\/strong>\r\n