Metatarsal stress fracture

Case contributed by Derek Smith
Diagnosis almost certain

Presentation

Foot stood on while at athletics training. Tender laterally. ? Jones fracture

Patient Data

Age: 35 years
Gender: Male
x-ray

Oblique lucency through the fourth metatarsal diaphysis. There is surrounding periosteal reaction.

No other fracture or dislocation.

Case Discussion

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.

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