eMedicine Specialties > Radiology > Musculoskeletal
Metatarsals, Fractures: Multimedia
Updated: Oct 7, 2009
Multimedia
 | Media file 1: Fractured metatarsals. Normal anteroposterior view of the foot. Note the alignment of (1) the lateral border of the first metatarsal with the lateral border of the medial cuneiform and (2) the medial border of second metatarsal with the medial border of the middle cuneiform. |
 | Media file 2: Fractured metatarsals. Oblique view of a normal foot shows that the medial and lateral borders of the third metatarsal are aligned with the corresponding borders of the lateral cuneiform bone. The medial border of the fourth metatarsal is aligned with the medial border of the cuboid bone. The lateral border of fifth metatarsal projects a few centimeters beyond the cuboid bone. |
 | Media file 3: Fractured metatarsals. Image shows a bone fragment parallel to the base of the fifth metatarsal bone. This is not a fracture; rather, it is the apophysis of the base of the fifth metatarsal bone. It occurs in association with an ossification center. This center is always parallel to the long axis of metatarsal and has smooth margins, unlike a fracture. |
 | Media file 4: Fractured metatarsals. Spiral fracture through the distal shaft of the fifth metatarsal. |
 | Media file 5: Fractured metatarsals. Another fracture of the fifth metatarsal, oblique, in the shaft. |
 | Media file 6: Fractured metatarsals. Fracture at the base of the first metatarsal in a child. |
 | Media file 7: Fractured metatarsals. Transverse fracture at the base of the fifth metatarsal in a male adolescent. |
 | Media file 8: Fractured metatarsals. Fracture of the midshaft of the third metatarsal. |
 | Media file 9: Fractured metatarsals. Magnified view of the foot shows a fracture with callus formation in the third metatarsal bone. |
 | Media file 10: Fractured metatarsals. Fracture of the distal shaft of the third metatarsal. |
 | Media file 11: Fractured metatarsals. Transverse fracture at the base of the fifth metatarsal; this is a Jones fracture. |
 | Media file 12: Fractured metatarsals. Avulsion fracture of the tuberosity of the fifth metatarsal. |
 | Media file 13: Fractured metatarsals. Another fracture of the tuberosity of the fifth metatarsal. |
 | Media file 14: Fractured metatarsals. Oblique fracture of the metaphysis of the distal shaft of the fifth metatarsal. |
 | Media file 15: Fractured metatarsals. Avulsion fracture at the base of the fifth metatarsal; this was the result of the action of the peroneus brevis tendon. |
 | Media file 16: Fractured metatarsals. Fracture of the metatarsal tuberosity. |
 | Media file 17: Fractured metatarsals. Fracture of the fifth metatarsal tuberosity with lateral displacement of the fracture fragment. |
 | Media file 18: Fractured metatarsals. Transverse fracture of the base of the fifth metatarsal bone and associated features, including radiopaque foreign bodies in the soft tissue and the accessory ossicle lateral to the cuboid bone. |
 | Media file 19: Fractured metatarsals. Comminuted fracture of the base of the fifth metatarsal bone. |
 | Media file 20: Fractured metatarsals. Fracture of the distal shaft of the third metatarsal. |
 | Media file 21: Fractured metatarsals. Fracture of the proximal shaft of the first metatarsal bone. |
 | Media file 22: Fractured metatarsals. Image shows a thin layer of subtle, solid periosteal reaction on the medial side of the shaft of the second metatarsal bone. This is an early stage of a stress fracture. |
 | Media file 23: Fractured metatarsals. Image shows a stress fracture more florid than that shown in the image of the stress fracture above (Image 22 in the Multimedia Section), with extensive periosteal reaction on either side of the third and fourth metatarsals. |
 | Media file 24: Fractured metatarsals. Image shows a Lisfranc fracture-dislocation: a fracture of the base of the second metatarsal and a lateral dislocation of the second metatarsal. |
 | Media file 25: Fractured metatarsals. Image shows a Lisfranc dislocation with a fracture of the base of the third and fourth metatarsals. |
More on Metatarsals, Fractures |
| Overview: Metatarsals, Fractures |
| Imaging: Metatarsals, Fractures |
 Multimedia: Metatarsals, Fractures |
| References |
| Further Reading |
| « Previous Page |
References
Quill GE. Fractures of the proximal fifth metatarsal. Orthop Clin North Am. Apr 1995;26(2):353-61. [Medline].
Singer G, Cichocki M, Schalamon J, Eberl R, Höllwarth ME. A study of metatarsal fractures in children. J Bone Joint Surg Am. Apr 2008;90(4):772-6. [Medline].
Albisetti W, Perugia D, De Bartolomeo O, Tagliabue L, Camerucci E, Calori GM. Stress fractures of the base of the metatarsal bones in young trainee ballet dancers. Int Orthop. May 5 2009;[Medline].
Banal F, Gandjbakhch F, Foltz V, Goldcher A, Etchepare F, Rozenberg S, et al. Sensitivity and specificity of ultrasonography in early diagnosis of metatarsal bone stress fractures: a pilot study of 37 patients. J Rheumatol. Aug 2009;36(8):1715-9. [Medline].
Raikin SM, Elias I, Dheer S, Besser MP, Morrison WB, Zoga AC. Prediction of midfoot instability in the subtle Lisfranc injury. Comparison of magnetic resonance imaging with intraoperative findings. J Bone Joint Surg Am. Apr 2009;91(4):892-9. [Medline].
Chuckpaiwong B, Queen RM, Easley ME, Nunley JA. Distinguishing Jones and proximal diaphyseal fractures of the fifth metatarsal. Clin Orthop Relat Res. Aug 2008;466(8):1966-70. [Medline].
Lawrence SJ, Botte MJ. Jones' fractures and related fractures of the proximal fifth metatarsal. Foot Ankle. Jul-Aug 1993;14(6):358-65. [Medline].
Pao DG, Keats TE, Dussault RG. Avulsion fracture of the base of the fifth metatarsal not seen on conventional radiography of the foot: the need for an additional projection. AJR Am J Roentgenol. Aug 2000;175(2):549-52. [Medline].
Crim J. MR imaging evaluation of subtle Lisfranc injuries: the midfoot sprain. Magn Reson Imaging Clin N Am. Feb 2008;16(1):19-27, v. [Medline].
Stoller D. Ankle and Foot. Magnetic Resonance Imaging in Orthopaedics and Sports Medicine. 2nd ed. Philadelphia: Lippincott, Williams & Wilkins;1996: 568-9.
Torriani M, Thomas BJ, Bredella MA, Ouellette H. MRI of metatarsal head subchondral fractures in patients with forefoot pain. AJR Am J Roentgenol. Mar 2008;190(3):570-5. [Medline].
Macmahon PJ, Dheer S, Raikin SM, Elias I, Morrison WB, Kavanagh EC, et al. MRI of injuries to the first interosseous cuneometatarsal (Lisfranc) ligament. Skeletal Radiol. Mar 2009;38(3):255-60. [Medline].
Gregg JM, Schneider T, Marks P. MR imaging and ultrasound of metatarsalgia--the lesser metatarsals. Radiol Clin North Am. Nov 2008;46(6):1061-78, vi-vii. [Medline].
Jaukovic L, Ajdinovic B, Gardasevic K, Dopuda M. 99mTc-MDP bone scintigraphy in the diagnosis of stress fracture of the metatarsal bones mimicking oligoarthritis. Vojnosanit Pregl. Apr 2008;65(4):325-7. [Medline].
Further Reading
Clinical guidelines
Metatarsalgia/intractable plantar keratosis/Tailor's bunion.
Academy of Ambulatory Foot and Ankle Surgery. 2000 (revised 2003 Sep). 7 pages. NGC:003246
Diagnosis and treatment of first metatarsophalangeal joint disorders.
American College of Foot and Ankle Surgeons. 2003 May-Jun. 43 pages. NGC:003064
Diagnostic imaging practice guidelines for musculoskeletal complaints in adults - an evidence-based approach. Part 1: lower extremity disorders.
Canadian Protective Chiropractic Association - Professional Association
l'Université du Québec à Trois-Rivières - Academic Institution. 2007 Dec. 34 pages. NGC:006701
ACR Appropriateness Criteria® chronic foot pain.
American College of Radiology - Medical Specialty Society. 1998 (revised 2005). 7 pages. NGC:004618
Clinical trials
A Double Blind Randomized Study on Adjunctive Use of Pulsed Electromagnetic Fields in the Treatment of 5th Metatarsal Non-Union Fracture
Related eMedicine topics
Metatarsal Stress Fracture
Lisfranc Fracture Dislocation
Stress Fractures (Orthopedic Surgery)
Stress Fracture (Physical Medicine and Rehabilitation)
Fracture, Foot
Freiberg Infraction
Athletic Foot Injuries
Keywords
metatarsal fracture, metatarsus fracture, broken foot, Jones fracture, stress fracture of the foot, marcher's fractures, Lisfranc fracture dislocation, pseudo-Jones fracture, tennis fractures, dancer's fractures, pseudo-Jones fracture, tennis fracture, dancer's fracture, Lisfranc dislocation, Torg classification, Stewart classification, zonal classification, metatarsal stress fracture, foot stress fracture, marcher's foot
