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Normal foot (radiograph)

Case contributed by Dai Roberts
Diagnosis not applicable

Presentation

Increase in activity and forefoot pain. ? stress fracture

Patient Data

Age: 30 years
Gender: Male
x-ray

Midfoot alignment is maintained on this non-weight bearing study.  No evidence of a metatarsal stress fracture. 

Case Discussion

Important areas to review include midfoot alignment, which is lost in Lisfranc injuries, the metatarsals and navicular for stress fractures, and for an erosive arthropathy, such as in gout.  A structured approach and checklists can be helpful when preparing for exams.

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