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Treated with 4 wk in a cam walker moon boot Went on holiday for 4 weeks. Returned with increasing forefoot pain.
Stress fracture at the 2nd metatarsal proximal diaphysis is healing, with more mature cortical and periosteal new bone. However, marrow hyperintensity has progressed to the neck and head region, and surrounding soft tissue inflammation is also more distal. Subchondral linear hypointensity along the plantar aspect of the metatarsal head is compatible with insufficiency fracture.