Presentation
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
From the case:
Isolated fracture of the base of 4th metatarsal
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Isolated fracture through the medial aspect of the base of the fourth metatarsal with intra-articular extension.
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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.