Case Study 10: Metatarsal Stress Fracture

Metatarsal Stress Fracture

A 45 year old presented with ongoing pain around the outside of the midfoot. There was focal pain with palpation of the 4th metatarsal.

Stress fracture

Stress fracture Ultrasound  There was a 4th metatarsal stress fracture which was present when ultra sounding 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
  • CAM walker immobilisation.

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