MedPix Medical Image Database

COW - Case of the WeekCase Contributor: Mark D TravisAffiliation: National Naval Medical Center Bethesda

MedPix No: 10187 - HistoryPt Demographics: Age = 53 y.o. Gender = manMan dropped wheelbarrow on foot while moving dirt in his yard. Fealt snap and pop in foot. Now has extreme pain and swelling. He did not come to the doctor for over a week as he thought it was only a bruise.

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MedPix No: 10187 - EXAM & LABSPain and swelling at lateral aspect of foot.

Fractures of the base of the fifth metatarsal

Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute.

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Fractures of the base of the fifth metatarsal

Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute.

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Fractures of the base of the fifth metatarsal

Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute.

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FINDINGSFracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute.

DIFFERENTIAL DIAGNOSISWhat is your Differential Diagnosis?Fracture of base of 5th metatarsal - Jones Fracture (>1.5 cm from proximal tip) - Normal apophysis of 5th metatarsal-

Diagnosis: Fractures of the base of the fifth metatarsalDx Confirmed by: Radiograph

DISCUSSIONSee factoid