Presentation
Middle foot pain. History of recurrent metatarsal fatigue fractures.
Patient Data
Age: 65 years
Gender: Male
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Calcification projects over the proximal third and fourth metatarsal.
Bone scan
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Focal increased uptake in the left midfoot.
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Hypertrophic callus extends between the plantar aspects of the third and fourth metatarsal shafts. Central lucency is indicative of pseudarthrosis.