Stress fracture right metatarsal

Case contributed by Dr Garth Kruger

Presentation

An older lady presents with unexplained foot pain

Patient Data

Age: 65 years old
Gender: Female
Modality: X-ray

At first glance the x ray is unremarkable. Closer inspection shows the most subtle of periosteal reactions distal 3rd metatarsal on the right. 

Modality: Annotated image

Arrow indicates area of the most subtle of periosteal reactions distal 3rd metatarsal on the right. 

12 weeks later

Modality: X-ray

12 weeks later the fracture shows solid osseous union with residual sclerosis.

Case Discussion

Look very carefully for the faintest of periosteal reactions if a stress fracture is supected.

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Case Information

rID: 23699
Case created: 4th Jul 2013
Last edited: 26th Feb 2016
Inclusion in quiz mode: Included

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