Easily Missed Fractures of the Ankle & Foot
Easily Missed Fractures of the Ankle & Foot
Easily Missed Fractures of the Ankle & Foot
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<strong>Easily</strong> <strong>Missed</strong> <strong>Fractures</strong><br />
<strong>of</strong> <strong>the</strong> <strong>Ankle</strong> & <strong>Foot</strong><br />
Metatarsal <strong>Fractures</strong><br />
CAN BE VERY SUBTLE<br />
‣Need AP & Oblique Views<br />
‣Magnification Helps<br />
FATIGUE FRACTURES ARE COMMON<br />
‣“March Fracture”<br />
‣2 nd /3 rd /4 th MTs<br />
‣Look Closely for Periosteal Reaction<br />
‣Suggest Follow-Up Radiographs<br />
CHRONIC PAIN w/NEG RADIOGRAPHS…<br />
‣…MRI<br />
page 13 <strong>of</strong> 18<br />
Metatarsal <strong>Fractures</strong> - Occult<br />
14 yo M<br />
©Ken L Schreibman, PhD/MD 2008<br />
schreibman.info<br />
©Ken L Schreibman, PhD/MD 2008<br />
schreibman.info<br />
Metatarsal <strong>Fractures</strong> - Occult<br />
14 yo M 6 weeks later<br />
Metatarsal <strong>Fractures</strong> - Occult<br />
14 yo M<br />
T1 T2<br />
FS<br />
©Ken L Schreibman, PhD/MD 2008<br />
schreibman.info<br />
©Ken L Schreibman, PhD/MD 2008<br />
schreibman.info<br />
Metatarsal Stress Fracture<br />
22 yo F, pain during 1 week vacation wearing sandals<br />
Metatarsal Stress Fracture<br />
22 yo F, pain during 1 week vacation wearing sandals<br />
IR<br />
m<br />
©Ken L Schreibman, PhD/MD 2008<br />
schreibman.info<br />
T1<br />
T2fs<br />
©Ken L Schreibman, PhD/MD 2008<br />
schreibman.info<br />
©Ken L Schreibman, PhD/MD<br />
11/10/08 www.schreibman.info
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