Isolated fracture of the base of 4th metatarsal

Case contributed by Dr Balint Botz


Fall from height, pain around the proximal aspect of the 4th and 5th right metatarsals on weight-bearing.

Patient Data

Age: 30 years
Gender: Male

Isolated fracture through the medial aspect of the base of the fourth metatarsal with intra-articular extension.

Annotated image

Key image

The fracture fragment highlighted on the AP view.

Case Discussion

Fractures of the metatarsal bases can be more difficult to assess on plain film due to the extensive overlap, thus careful scrutiny of cortical contours is particularly important.

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Case information

rID: 64808
Published: 9th Dec 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: University of Pécs