March fracture

Case contributed by Ahmed Abdrabou
Diagnosis certain


Foot pain of 2 months duration with history of prolonged walking

Patient Data

Age: 30 years old
Gender: Female

Malalignment of the 4th metatarsal head yet there is no fracture line detected.


Fracture of the 4th metatarsal neck with associated bone marrow edema displaying bright STIR signal in the metatarsal shaft.

Annotated image

The red circle indicates the site of the fracture.

Case Discussion

March fracture is a type of stress fracture that involves 2nd to 4th metatarsal neck and occurs secondary to repetitive minor trauma.

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