Presentation
Foot pain and swelling for weeks.
Patient Data
Age: 70 years
Gender: Male
From the case:
Stress fracture of the 3rd metatarsal
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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.
From the case:
Stress fracture of the 3rd metatarsal
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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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