MedPix® Patient Chart - Case No: 2375 :: Imaging - Review Images

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History

Age: 24 :: Gender: woman

Patient History

The patient is a 24 y/o active duty woman who presented to the ED with sudden onset of lateral foot pain after slipping off a step. Patient noted that her left ankle was in position of inversion when she landed.

Exam


Physical Exam and Laboratory

Patient had mild edema and significant point tenderness over lateral left foot, particularly over the proximal 5th metatarsal. She had no tenderness to palpation over her left tibia/fibula. Patient had full range of motion of LLE. She had a negative squeeze test and negative anterior/posterior drawer signs.


Imaging

Imaging - Review Images for PT: 2375

Findings


Summary of Findings

Three views of left foot were taken. The PA and oblique views are significant for a fracture 1cm from the proximal tip of the left fifth metatarsal. No displacement of the fracture is noted. Ankle films were negative in all three views.


Imaging

Imaging - Review Images for PT: 2375

Diffferential


Differential Diagnosis

> Unfused apophysis
> Artifact or superimposed luceny
> Fracture of proximal 5th metatarsal


Imaging

Imaging - Review Images for PT: 2375

Diagnosis


Case Diagnosis

Dx: Avulsion Fracture -Nondisplaced fracture of fifth metatarsal


Dx Confirmed by:



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History:
The patient is a 24 y/o active duty woman who presented to the ED with sudden onset of lateral foot pain after slipping off a step. Patient noted that her left ankle was in position of inversion when she landed.

Exam:
Patient had mild edema and significant point tenderness over lateral left foot, particularly over the proximal 5th metatarsal. She had no tenderness to palpation over her left tibia/fibula. Patient had full range of motion of LLE. She had a negative squeeze test and negative anterior/posterior drawer signs.

Findings:
Three views of left foot were taken. The PA and oblique views are significant for a fracture 1cm from the proximal tip of the left fifth metatarsal. No displacement of the fracture is noted. Ankle films were negative in all three views.

Differential:
> Unfused apophysis
> Artifact or superimposed luceny
> Fracture of proximal 5th metatarsal

Diagnosis:
Avulsion Fracture -Nondisplaced fracture of fifth metatarsal
Confirmed by:

Treatment and Followup:


Discussion:

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