March fracture

Case contributed by Ahmed Abdrabou
Diagnosis certain

Presentation

Foot pain of 2 months duration with history of prolonged walking

Patient Data

Age: 30 years old
Gender: Female
x-ray
Oblique
Frontal
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Info

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

mri
This study is a stack
Axial
T1
This study is a stack
Coronal
STIR
This study is a stack
Coronal
T1
This study is a stack
Sagittal
STIR
This study is a stack
Sagittal
T1
This study is a stack
Sagittal
T2
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Info

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

Annotated image
Cor
T1
Cor
STIR
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Info

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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