Metatarsal stress fracture
Foot stood on while at athletics training. Tender laterally. ? Jones fracture
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Oblique lucency through the fourth metatarsal diaphysis. There is surrounding periosteal reaction.
No other fracture or dislocation.
Further history obtained confirmed some low-level pain in this area, exacerbated by his training.
This was felt to represent a stress fracture with an acute injury rather than a healing fracture with callus.