March fracture

Case contributed by Dr Ahmed Abd Rabou

Presentation

Foot pain of 2 months duration with history of prolonged walking

Patient Data

Age: 30 years old
Gender: Female
X-ray

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

MRI

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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Case information

rID: 49755
Case created: 2nd Dec 2016
Last edited: 3rd Dec 2016
Inclusion in quiz mode: Included

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