Stress fracture - 3rd metatarsal

Case contributed by Dr Chris O'Donnell

Presentation

Swelling and pain in foot for weeks

Patient Data

Age: 70
Gender: Male
Modality: Nuclear medicine

Linear increase in blood flow and blood pooling in the mid distal foot. 

3rd metatarsal show marked uptake in isotope indicative of reactive bone along the length of the metatrsal but especially the mid-shaft. 

Modality: X-ray

Extremely subtle cortical bone erosion and periosteal new bone indicative of a stress reaction. 

Case Discussion

Note the disparity between the subtle radiographic findings (structural change) and the intensely abnormal bone scan (functional change ie reactive bone response). 

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Case Information

rID: 16788
Case created: 20th Feb 2012
Last edited: 21st Sep 2015
Inclusion in quiz mode: Included

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