Title:Ultrasound Diagnostic: Rapid Detection of Second Metatarsal Stress Fracture,
Case Report and Literature Study
Volume: 20
Author(s): Daniela Poenaru*
Affiliation:
- Department of Rehabilitation, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Keywords:
Stress fracture, Ultrasound, Second metatarsal, Forefoot pain, Hyperuricemia, Cortical & Periosteal, Abnormalities.
Abstract:
Introduction:
Ultrasound is extensively used for soft tissue pathology. Scanning bone superficial structures may reveal clear pathologic features to aid diagnosis.
Case presentation:
We present the case of a stress fracture in the second metatarsal, with the clinical aspect of a gouty attack. Ultrasound examination showed cortical
thickening and disruption, hypoechoic periosteal swelling, hyperemia, soft tissue edema, and displacement of the extensor tendon. The diagnosis
was confirmed by X-ray and MRI. The value of different diagnostic tools is discussed, and the importance of gray-scale and color Doppler
ultrasound as a first-hand modality is underlined.
Conclusion:
Sonography clearly identifies cortical and periosteal abnormalities, differentiates surrounding soft tissue pathologies, and offers dynamic
evaluation, and follow-up possibility with low cost, high accessibility, and no risks. Periosteal and cortical irregularities are important diagnostic
issues when performing ultrasound examinations for soft tissue pathology.