Avulsion Fracture of the Plantar Calcaneocuboid Ligament in a Skeletally Immature Patient: A Case Report
Case Report | Volume 11 | Issue 2 | May-August 2025 | Page: 27-30 | Maulin Shah, Shalin Shah, Chinmay Sangole, Meet Jain, Vaibhav Mittal, Kunal Singla
DOI- https://doi.org/10.13107/ijpo.2025.v11.i02.236
Open Access License: CC BY-NC 4.0
Copyright Statement: Copyright © 2025; The Author(s).
Submitted: 06/05/2025; Reviewed: 02/06/2025; Accepted: 14/07/2025; Published: 10/08/2025
Authors: Maulin Shah MS Ortho [1], Shalin Shah MS Ortho [1], Chinmay Sangole MS Ortho [1], Meet Jain MS Ortho [1], Vaibhav Mittal MS Ortho [1], Kunal Singla MS Ortho [1]
[1] Department of Pediatric Orthopedic Surgery, Orthokids Clinic, Ahmedabad, Gujarat, India.
Address of Correspondence
Dr. Maulin M. Shah
Consultant Pediatric Orthopedic Surgeon, Orthokids Clinic, Ahmedabad, Gujarat, India.
Email: maulinmshah@gmail.com
Abstract
Introduction: Isolated calcaneocuboid ligament (CCL) avulsion is a rare and often overlooked injury, previously described only in adults. Due to subtle or absent radiographic findings, diagnosis is frequently missed which is evident only on the lateral view radiographs of foot. We report, to our knowledge, the first paediatric case of plantar CCL avulsion, successfully treated with plaster immobilization.
Case: A 9-years-old male child presented to us with a dorsiflexion and inversion injury to the foot. While no fracture was evident on dorso-plantar and oblique foot radiographs, fracture was visible on the lateral radiograph as a bony avulsion fracture on the plantar aspect of the cuboid. MRI further delineated the morphology of the fracture pattern. Conservative management in the form of below knee cast was given. Good outcome was obtained at 1 year follow-up.
Conclusion: Avulsion fracture of the plantar calcaneocuboid ligament is rare and this is the first reported case of this injury in a child.
Keywords: Calcaneocuboid ligament, Lateral foot pain, Paediatric foot
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| How to Cite this Article: Shah M, Shah S, Sangole C, Jain M, Mittal V, Singla K. Avulsion Fracture of the Plantar Calcaneocuboid Ligament in a Skeletally Immature Patient: A Case Report. International Journal of Paediatric Orthopaedics . May-August 2025; 11(2): 27-30. |
