Eagles’ Todd Herremans out for season with cuboid bone foot injury

8 Nov

There goes what’s left of the Eagles’ offensive line.

todd-herremans-philadelphia-eaglesMonday night’s game against New Orleans was ugly. QB Michael Vick was sacked seven times and in the first quarter, Right Tackle Todd Herremans went out limping after he landed on the inside of his right foot with such great force that he dislocated bones all the way across the outside of his foot. Sort of like what happens when a car hits a brick wall at 50 mph – only his foot was the car.

Eagles head athletic trainer Rick Burkholder described the injury as a dislocated cuboid bone in Herremans’ right foot, in addition to a slight fracture of his fourth metatarsal, ligament damage, and a slight tendon strain.

“The best way I can describe it to you” Burkholder said, “…if you have a jigsaw puzzle and those pieces fit together real nicely. But if you put force on one side and one of those pieces pops out, it kind of takes the cardboard with it. That’s kind of what happened to that bone.”

“[On Tuesday], We took him over to the surgical center at the Navy Yard, and they numbed him from the knee down and they popped that [cuboid] bone back into place.”  To test the stability of the joint, doctors placed Herremans under anesthesia and then attempted to pop the bone back out, but it stayed in. That was good news, as it indicated that the joint was stable, which was important for their prognosis and diagnosis. Burkholder said team physicians are leaning against surgery, since the ligaments appear to be stable but strained.

Herremans, a fourth round draft pick in 2005, started his 100th career game Monday, and now joins center Jason Kelce on injured reserve.

What is the Cuboid Bone?

Cuboid-bone left footAs the name implies, the cuboid bone is cube-shaped. It’s one of the bones on the lateral (outside) side of the foot and plays an important role in keeping your foot and ankle stable so that you can walk in the unique way that humans walk. How the bones of the foot join each other is key in the gliding motion of the joints, which allow us to have that smooth foot movement from heel to toe. Without the unique spacing and stabilizing properties of the cuboid bone, your foot would be considerably stiffer and less stable and you would have much more difficulty executing that motion.

Herremans was actually very fortunate that he didn’t sustain a “Nutcracker injury” which is more typical in his circumstances. In a Nutcracker, the cuboid bone serves as the nut, can’t contain the kinetic energy that comes in from the side of the foot, and it fractures under the pressure.

A more common injury of the cuboid bone is subluxation, or ascuboid syndrome, in which the bone is pushed downward and out of place. With this injury, you might experience a dull ache along the middle of the outside of your foot, and you’ll have difficulty putting weight on it. The pain will not subside with rest or elevation.

Herremans’ Status

Burkholder said that Herremans would have to spend the next 8 weeks in a walking boot before starting physical rehab, but the Eagles do not consider Herremans’ injury career-threatening. They expect him to make a full recovery before training camp next summer. His IR status is unfortunate, as he has been the Eagles’ most consistent and versatile lineman over the last few years, and was the lone bright spot on an otherwise dismal o-line this year.

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