March fracture

Case contributed by Chris O'Donnell
Diagnosis almost certain

Presentation

Army recruit with pain in the foot after initial training camp

Patient Data

Age: 25
Gender: Female
Nuclear medicine

A focus of intense isotope accumulation in the right 3rd metatarsal 

x-ray

Radiograph performed after nuclear bone scan shows subtle but definite periosteal new bone on the medial 3rd metatarsal neck consistent with a stress reaction

Case Discussion

March or insufficiency fracture of the metatarsal neck

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