Presentation
Increase in activity and forefoot pain. ? stress fracture
Patient Data
Age: 30 years
Gender: Male
From the case:
Normal foot (radiograph)
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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.