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.
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.
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.
> Unfused apophysis
> Artifact or superimposed luceny
> Fracture of proximal 5th metatarsal
Dx: Avulsion Fracture -Nondisplaced fracture of fifth metatarsal
Dx Confirmed by:
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