Presentation
Pain on right foot due to fall of steel at the workplace, today. On examination: no open wound, tenderness on right foot metatarsal bones mainly 1st and 2nd one.
Patient Data
RT 1st metatarsal shaft proximal third fracture is noted
RT 2nd metatarsal shaft distal third fracture is noted
Soft tissue swelling is noted
RT 3rd toe proximal phalanx sclerotic cortical changes are noted
RT 1st metatarsal shaft proximal third fracture is noted
RT 2nd metatarsal shaft distal third fracture is noted
RT 3rd toe proximal phalanx sclerotic cortical changes are noted
Case Discussion
Foot radiographs are commonly performed in emergency departments. This case illustrates the 1st & 2nd metatarsal fracture.
The dorsal AP & oblique X-ray of the right foot show sclerotic cortical changes at the 3rd toe proximal phalanx, a presumed diagnosis of Melorheostosis.
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