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
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. 

Annotated image

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

X-ray

12 weeks later

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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