Presentation
Painful midfoot for 7 months.
Patient Data
Age: 35 years
Gender: Male
From the case:
March fracture
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Abnormal bone narrow signal depicted low on T1 and high on PD fs sequences involving the third metatarsal base and proximal diaphysis associated with the surrounding soft tissue edematous changes indicating of bone marrow edema as a result of the stress fracture.
From the case:
March fracture
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The radiograph was negative for fracture of the third metatarsal bone.
Case Discussion
In the cases of march fracture, the plain radiographs have poor sensitivity (15-35%) in early-stage injuries, which increases in late-stage injuries (30-70%). MRI is the modality of choice with a sensitivity reported to reach close to 100% 1.
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