Case Study 14: 2nd Metatarsal Stress Fracture

A 35 year old presented with ongoing pain on along the top of the 2nd metatarsal.  They had recently started running and being very active in high impact gym activities.

Metatarsal stress Fracture Metatarsal stress fracture Ultrasound stress fracture


There was a 2nd metatarsal stress fracture which was present when ultrasounding the metatarsal. There was a disruption in the cortex of the metatarsal with swelling of the periosteum.

Treatment options include:

– Cessation of high impact activity

-Wearing a more supportive solid shoe.

-Orthotic insoles to reduce the strain and stress to the metatarsal.

– CAM walker immobilisation for 3-4 weeks until there was no tenderness along the length of the metatarsal.