Presentation
Foot swelling and pain, history of 5th metatarsal fracture about 3 months ago
Patient Data
Initial XR study in patient with foot trauma
Slightly displaced oblique fracture through the 5th metatarsal shaft and reaching the proximal articular surface.
Diffuse osteopenia involving the ankle and foot bones particularly prominent around the joints. Joint spaces maintained. Old fracture seen on 5th metatarsal bone.
Case Discussion
Disuse osteopenia is a cause of regional osteopenia describes regional decrease in bone mineral density, secondary to immobilization of affected extremity. Common causes include fractures, neuromuscular diseases, arthritis and voluntary inactivity/sedentary lifestyle.