Question 1144
{"accessible":true,"alternatives":[{"id":5727,"text":"bisphosphonate-related fracture"},{"id":5728,"text":"fatigue fracture"},{"id":5729,"text":"insufficiency fracture"},{"id":5730,"text":"osteosarcoma"},{"id":5731,"text":"pathological fracture"}],"archived":false,"correctAlternativeId":5728,"explanation":"\u003cp\u003eThe findings are of periosteal reaction around the fourth metatarsal shaft with slight sclerosis of the medullary cavity. In a young male athlete, the most likely diagnosis is a fatigue fracture, which is a subset of stress fracture (and in some areas will be more commonly known as a stress fracture).\u003c/p\u003e\u003cp\u003eInsufficiency fractures are the other subset of stress fractures but occur in diseased bone.\u003c/p\u003e\u003cp\u003eBisphonate-related fractures occur in the proximal femora of elderly patients.\u0026nbsp;\u003c/p\u003e\u003cp\u003eThere is no discernable underlying lesion to suggest a pathological fracture or osteosarcoma, and in addition osteosarcoma of the foot is rare.\u0026nbsp;\u003c/p\u003e","id":1144,"imageUrl":"https://prod-images-static.radiopaedia.org/images/3535/85875d48445a55e8241a101c1685fc_big_gallery.jpeg","imageAttribution":{"kind":"case","rID":2683},"imageAttributionCaseInfo":{"title":"Metatarsal stress fracture","contributor_name":"Frank Gaillard","contributor_param":"frank","case_rid":2683,"case_param":"metatarsal-stress-fracture"},"firstQuestionPath":"/questions/2233","nextQuestionPath":"/articles/osteosarcoma/questions/429","relatedArticles":[{"id":6156,"title":"Pathological fracture","link":"/articles/pathological-fracture?lang=us"},{"id":2094,"title":"Fatigue fracture","link":"/articles/fatigue-fracture?lang=us"},{"id":7542,"title":"Stress fracture","link":"/articles/stress-fracture-2?lang=us"},{"id":1505,"title":"Insufficiency fracture","link":"/articles/insufficiency-fracture?lang=us"},{"id":28969,"title":"Atypical femoral fracture","link":"/articles/atypical-femoral-fracture-1?lang=us"},{"id":64447,"title":"Atraumatic fracture","link":"/articles/atraumatic-fracture?lang=us"}],"alsoUsedIn":[{"id":1430,"kind":"RestrictedPage","title":"Page 1430 (in no courses)","link":"https://radiopaedia.org/admin/restricted_pages/1430"},{"id":2033,"kind":"Course","title":"X-ray Interpretation: Foot \u0026 Ankle Injuries Peer Review - page 2033","link":"https://radiopaedia.org/courses/x-ray-interpretation-foot-ankle-injuries-peer-review/pages/2033"},{"id":2033,"kind":"Course","title":"X-ray Interpretation: Foot \u0026 Ankle Injuries - page 2033","link":"https://radiopaedia.org/courses/x-ray-interpretation-foot-ankle-injuries/pages/2033"}],"stem":"\u003cp\u003eA young adult male athlete presents with a few weeks of forefoot pain and a foot radiograph was obtained. What is the most likely diagnosis?\u0026nbsp;\u003c/p\u003e","menuLinks":[{"text":"Report problem with question","url":"https://docs.google.com/forms/d/e/1FAIpQLSfO3soWYhOjJ7yErSysyCe5V4A1CqW7WK3rDA7MtAkecMGqNw/viewform?entry.1624461248\u0026entry.553583435=https://radiopaedia.org/questions/1144"}],"attemptsPercentages":[{"alternativeId":"5729","percentage":11},{"alternativeId":"5731","percentage":5},{"alternativeId":"5728","percentage":76},{"alternativeId":"5730","percentage":7},{"alternativeId":"5727","percentage":2}],"promptToLogin":false,"questionManager":false,"articleId":"osteosarcoma"}