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Stress fracture of second metatarsal

Case contributed by Vikas Shah
Diagnosis almost certain

Presentation

2 month history of pain and swelling on dorsum of foot

Patient Data

Age: 35 years
Gender: Female

Right foot

x-ray

Periosteal thickening and elevation involving the distal third of the second metatarsal of the right foot, with a transverse fracture line.

Case Discussion

These are classic appearances of a stress fracture of the second metatarsal, sometimes known as a "march fracture" or a fatigue fracture, and is caused by abnormal stresses on normal bone.

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