Base of 5th metatarsal fracture and apophysis

Case contributed by Dr Alexandra Stanislavsky

Presentation

Pain at 5th metatarsal base following a twisting injury.

Patient Data

Age: 10
Modality: X-ray

Fracture and apophysis of the base of 5th metatarsal.

Modality: Annotated image

Base of 5th fracture and apophysis.

Case Discussion

This case illustrates the difference in the appearance of an avulsion fracture and an apophysis at the base of the 5th metatarsal, as both are present simultaneously in this 10 year old patient. The avulsion fracture line is oriented horizontally or transversely across the base of the metetarsal whilst the lucent cartilage line of the normal apophysis is always oriented longitudinally. 

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Case Information

rID: 10842
Case created: 27th Sep 2010
Last edited: 14th Sep 2016
Inclusion in quiz mode: Included

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