Imaging Case of the Week 72

This is an oblique left foot x-ray of a 13 year old who twisted his foot while skateboarding. What can you see?

Left foot x-ray

click to enlarge

Here is the magnified view:

magnified view

click to enlarge

[peekaboo_link name=”Answer”]Answer[/peekaboo_link] [peekaboo_content name=”Answer”]

 

This is an x-ray showing normal unfused apophysis of the 5th metatarsal base as well as  a fracture through the base of the 5th metatarsal (There is a subtle transverse lucency through the base of the 5th metatarsal ).

Fracture base of the 5th MT

click to enlarge

The normal unfused apophysis of the 5th metatarsal base runs along the length of the bone. Fracture of the base of the 5th metatarsal runs across the bone.

This is the follow up x-ray taken 10 days later:

Follow up x-ray

click to enlarge

[/peekaboo_content]