Presentation
Pain in the left forefoot worsened by weight bearing, that began immediately after a day of intensive basketball playing. No specific injury mechanism reported.
Patient Data
X-rays obtained upon the 1st presentation
No fracture line was discernible in the initial x-rays. Nevertheless, considering the high clinical probability of metatarsal stress fracture a therapy with lightweight cast was initiated.
A healing stress fracture is visible through the lateral cortex of the second metatarsal with marked periosteal bone formation.
Case Discussion
Typical presentation of metatarsal stress fracture, where the pathology was occult in the initial x-rays.