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Why is surgery better for treating a cuboid nutcracker fracture than just casting?

In a recent study, researchers found four girls who had cuboid nutcracker fractures following horseback riding accidents. Two underwent surgery, two did not. The two girls who had surgery recovered well and went back to their previous levels of activity, including playing sports again. Of the other two girls, one continued to have stiffness in her foot and although she resumed her previous level of activity, she could only play non-strenuous sports. The other girl continued to have pain and stiffness to the point that she could not participate in any sports and her pain affected her daily activities.

Reference: 

Dimitri Ceroni, MD, et al. Cuboid Nutcracker Fracture Due to Horseback Riding in Children. In Journal of Pediatric Orthopaedics. July/August 2007. Vol. 27. No. 5. Pp.557-562.


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