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Stress fracture

Case contributed by Mohammad Osama Hussein Yonso
Diagnosis certain

Presentation

Pain and tenderness of the left foot at the fifth metatarsal area for three weeks

Patient Data

Age: 30 years
Gender: Male
x-ray

There is focal periosteal reaction with fracture line at the lateral aspect of the proximal third of 5th metatarsal consistent with a stress fracture.

An accessory navicular is seen.

Zoomed view

x-ray

Focal periosteal reaction with fracture line at the lateral aspect of the proximal third of 5th metatarsal consistent with a stress fracture.

Case Discussion

Typical location of stress fracture of the 5th metatarsal bone. No clear displacement in the fracture. No intra-articular extension is seen. Treatment by splint is enough.

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