2nd and 3rd metatarsal fractures

Case contributed by Dr Bruno Di Muzio

Presentation

A heavy object fell over the right foot. Persistent pain.

Patient Data

Age: 45-year-old
Gender: Male

X-ray Right foot

Modality: X-ray

Transverse simple fracture through the diaphysis of the second metatarsal bone with dorsal displacement of the distal fragment. Comminuted transverse fracture through the diaphysis of the third metatarsal bone, without displacement.

CT Right foot

Modality: CT

Technique: Volume acquisition through the right foot has been obtained without contrast, and reviewed in multiple planes.

Findings: Transverse simple fracture through the diaphysis of the second metatarsal bone with 5mm dorsal displacement of the distal fragment. Comminuted (3-part) transverse fracture through the diaphysis of the third metatarsal bone, without displacement.

The remainder bones are unremarkable, with normal alignment and no signs of fractures.

Conclusion: Fractures in the second and third metatarsal bones.​

Case Discussion

This case reflects the typical appearance of fractures involving metatarsal bones when heavy objects fall over the dorsum of a foot: both fractures are at the same level in adjacent metatarsal bones, in the centre of the foot, without other lateral bones displacement or fractures. 

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Case Information

rID: 43037
Case created: 20th Feb 2016
Last edited: 16th Apr 2017
Inclusion in quiz mode: Excluded

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