First metatarsal fracture (MRI)

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Foot pain and swelling a few hours after trauma.

Patient Data

Age: 15
Gender: Male

Fracture line is present at the plantar aspect of the first metatarsal base associated with focal bone marrow edema and a T1 hypointense fracture line. 

Bone marrow edema also is seen at the hindfoot, midfoot and base of the metatarsal bones.

Case Discussion

First metatarsal fractures result from a variety of low and high energy mechanisms and deserves careful evaluation.

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