Intermetatarsal hypertrophic callus bridge with pseudarthrosis

Case contributed by Dr Roberto Schubert

Presentation

Middle foot pain. History of recurrent metatarsal fatigue fractures.

Patient Data

Age: 65 years
Gender: Male

Calcification projects over the proximal third and fourth metatarsal. 

Bone scan

Nuclear medicine

Focal increased uptake in the left midfoot. 

Hypertrophic callus extends between the plantar aspects of the third and fourth metatarsal shafts. Central lucency is indicative of pseudarthrosis. 

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