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# Cuboid

The cuboid is a cube-shaped bone on the outer side of the midfoot, in front of the heel bone.

Official name: Cuboid bone

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## What it is

A cube-shaped bone on the outer side of the midfoot, between the heel bone and the fourth and fifth metatarsals.

## What it does

Supports the outer arch. The fibularis longus tendon runs in a groove under it.

## Key points

- The groove on its plantar surface turns the fibularis longus tendon medially across the sole to the [medial cuneiform](https://durgical.com/en/anatomy/medial-cuneiform-bone/) and [first metatarsal](https://durgical.com/en/anatomy/first/) base
- Nutcracker fracture: the cuboid is crushed between the calcaneus and the bases of the fourth and fifth metatarsals when the forefoot is forced outwards
- Keystone of the lateral column; shortening after a fracture lets the forefoot drift out and the arch flatten

## Key facts

**Joints with**
Calcaneus; metatarsals 4–5; lateral cuneiform; sometimes navicular

**Landmarks**
Plantar groove for fibularis longus tendon; cuboid tuberosity; key bone of lateral column

## Relations

**Behind**
[Calcaneus](https://durgical.com/en/anatomy/calcaneus/) at the calcaneocuboid joint, the lateral half of the transverse tarsal (Chopart) joint

**In front**
Bases of the fourth and fifth metatarsals

**Medial**
[Lateral cuneiform](https://durgical.com/en/anatomy/lateral-cuneiform-bone/) and sometimes the [navicular](https://durgical.com/en/anatomy/navicular-bone/)

**Below**
[Fibularis longus tendon](https://durgical.com/en/anatomy/tendon-of-fibularis-longus/) in its groove; long and short plantar ligaments

**Lateral**
[Fibularis brevis tendon](https://durgical.com/en/anatomy/tendon-of-fibularis-brevis/) on its way to the [fifth metatarsal](https://durgical.com/en/anatomy/fifth/) tuberosity; the [sural nerve](https://durgical.com/en/anatomy/sural-nerve/) along the outer foot

**Above**
[Extensor digitorum brevis](https://durgical.com/en/anatomy/extensor-digitorum-brevis/), arising from the calcaneus, covers its dorsum

## How to find it

Felt on the lateral side of the foot in the hollow just behind the prominent base of the fifth metatarsal, with the calcaneocuboid joint a little further back. The fibularis longus tendon can be traced down to the groove under it.

## On imaging

Often missed on routine views; the oblique foot view shows it and its joints best, and the medial border of the [fourth metatarsal](https://durgical.com/en/anatomy/fourth/) should line up with the medial border of the cuboid. CT for nutcracker fractures and lateral column length. A displaced or split os peroneum suggests a [fibularis longus](https://durgical.com/en/anatomy/fibularis-longus-muscle/) tear.

## Common problems

- Fractures, sometimes from the forefoot being forced outward; 'cuboid syndrome', a painful slight shift of the bone after sprains.

## Clinical notes

- Injuries of the transverse tarsal (Chopart) joint are easily missed and later cause midfoot pain and deformity
- Painful os peroneum syndrome: pain at the lateral cuboid from the ossicle in the fibularis longus tendon

## Anatomical variants

- Os peroneum, an ossicle in the fibularis longus tendon beside the cuboid; its frequency varies between populations

## Development

Ossifies around birth, so it is usually visible on newborn X-rays.

## Related conditions

- [Metatarsal fractures (including stress fractures)](https://durgical.com/en/conditions/metatarsal-fractures/)
- [Clubfoot (talipes equinovarus)](https://durgical.com/en/conditions/clubfoot/)

## Test yourself

Think of the answer, then tap the question to see it.

## Which tendon runs in the groove on the plantar surface of the cuboid?

The fibularis longus tendon, turned medially across the sole to the medial cuneiform and first metatarsal base.

## What is a nutcracker fracture of the cuboid?

A crush of the cuboid between the calcaneus and the bases of the fourth and fifth metatarsals when the forefoot is forced outwards.

## Which bones articulate with the cuboid?

The calcaneus, the fourth and fifth metatarsals, the lateral cuneiform and sometimes the navicular.

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
os cuboideum TA2 1489

**Official Spanish (DeCS)**
Hueso cuboides DeCS D013639

**English (TA2)**
Cuboid bone

**Also called**
os cuboides

## Related

- [Calcaneus](https://durgical.com/en/anatomy/calcaneus/)
- [Lateral cuneiform](https://durgical.com/en/anatomy/lateral-cuneiform-bone/)
- [Fourth metatarsal](https://durgical.com/en/anatomy/fourth/)
- [Fifth metatarsal](https://durgical.com/en/anatomy/fifth/)
- [Bifurcate ligament](https://durgical.com/en/anatomy/bifurcate-ligament/)
- [Adductor hallucis](https://durgical.com/en/anatomy/adductor-hallucis/)
- [Extensor digitorum brevis](https://durgical.com/en/anatomy/extensor-digitorum-brevis/)
- [Extensor hallucis brevis](https://durgical.com/en/anatomy/extensor-hallucis-brevis/)

Sources: Terminologia Anatomica (TA2); [DeCS](https://decs.bvsalud.org/es/ths/resource/?id=23476&filter=ths_termall&q=Huesos%20Tarsianos); [Anatomy, Bony Pelvis and Lower Limb: Foot and Ankle](https://www.ncbi.nlm.nih.gov/books/NBK546698/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/cuboid-bone/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/cuboid-bone/
