scholarly journals 99mTc-MDP bone scintigraphy in the diagnosis of stress fracture of the metatarsal bones mimicking oligoarthritis

2008 ◽  
Vol 65 (4) ◽  
pp. 325-327 ◽  
Author(s):  
Ljiljana Jaukovic ◽  
Boris Ajdinovic ◽  
Ksenija Gardasevic ◽  
Marija Dopudja
Keyword(s):  
Case Report ◽  
Bone Scintigraphy ◽  
Stress Fracture ◽  
Soft Tissues ◽  
Callus Formation ◽  
Proximal Part ◽  
Metatarsal Bone ◽  
Plain Radiography ◽  
Metatarsal Bones ◽  
Second Metatarsal

Background. Stress fractures are the injuries of soft tissues and bones caused by intensive and repeated stress on a bone. Repeated submaximal stress disturbs the balance between the processes of bone production and resorption that results in fracture. Case report. We presented a case of a patient with stress fracture of metatarsal bone. The patient was diagnosed and treated as having reactive oligoarthritis caused by Chlamydia trachomatis and administered antibiotics. Initial plain radiography was negative for bone fracture. Tc-99m bone scintigraphy suggested stress fracture of the second metatarsal. Plain radiography was became positive three weeks later, showing callus formation in the proximal part of the second metatarsal. Conclusion. Bone scintigraphy is a diagnostic test of choice in early diagnosis of stress fracture, and it is important to apply it timely in order to include the entire therapy and prevent complications, as well as to let a patient return to previous daily activites.

Foot Salvage After Loss of the First and Second Metatarsal Rays with a Free Fibular Osteocutaneous Flap

2011 ◽  
Vol 101 (6) ◽  
pp. 531-536 ◽  
Author(s):  
Christopher J. Salgado ◽  
Chih-Hung Lin ◽  
David A. Fuller ◽  
Alissa N. Duncan ◽  
Liliana Camison ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
High Energy ◽  
Metatarsal Bone ◽  
Tissue Loss ◽  
Metatarsal Bones ◽  
Second Metatarsal ◽  
Independent Ambulation ◽  
Soft Tissue Loss ◽  
Osteocutaneous Flap

Severely comminuted fractures of the metatarsal bones with significant bone and soft-tissue loss have commonly subjected patients to proximal amputation procedures. We describe two patients who experienced high-energy traumatic injuries to their limbs that resulted in significant destruction of their first and second metatarsal bones with overlying soft-tissue trauma not amenable to local coverage. In both cases, a vascularized free fibular osteocutaneous flap was used to reconstruct the metatarsal bone defect and traumatized soft tissues so that a proximal amputation was avoided. At an average of 14 months of follow-up, both patients had recovered well and regained independent ambulation, with one patient being able to play soccer. We show that the free fibular osteoseptocutaneous flap is useful in reconstructing significant metatarsal bone defects and in avoiding amputations in this patient population. The skin component of the flap may be used to fill soft-tissue losses, and the fibula bone may be osteotomized so that more than one ray may be reconstructed. (J Am Podiatr Med Assoc 101(6): 531–536, 2011)

Scintigraphic detection of sequential symmetrical metatarsal stress fractures

1995 ◽  
Vol 85 (3) ◽  
pp. 162-165 ◽  
Author(s):  
NH Patel ◽  
AF Jacobson ◽  
J Williams
Keyword(s):  
Bone Scintigraphy ◽  
Stress Fracture ◽  
Bone Scan ◽  
Stress Fractures ◽  
Foot Pain ◽  
Plain Radiographs ◽  
Three Phase ◽  
Second Metatarsal ◽  
Bone Abnormalities

A patient with complaints of right foot pain and previous normal radiographs had an abnormal three-phase bone scan consistent with a second metatarsal stress fracture. Subsequent radiographs confirmed this diagnosis. Two months later, the patient developed pain in his left foot, and again initial radiographs were noncontributory. A later bone scan revealed a left second metatarsal stress fracture. The results in this case reemphasize the value of bone scintigraphy in patients with foot pain and no bone abnormalities on plain radiographs.

A Rare Combination of Brachymetatarsia and Congenital Hallux Varus:

2014 ◽  
Vol 104 (1) ◽  
pp. 85-89 ◽  
Author(s):  
Vanessa Froehlich ◽  
Markus Wuenschel
Keyword(s):  
Locking Plate ◽  
Callus Formation ◽  
Metatarsophalangeal Joint ◽  
Metatarsal Bone ◽  
First Metatarsophalangeal Joint ◽  
First Metatarsal ◽  
Hallux Varus ◽  
Metatarsal Bones ◽  
Patient Reported ◽  
Surgery First

Hallux varus is defined as a medial deviation of the phalanx at the first metatarsophalangeal joint and can be congenital or acquired. Brachymetatarsia is defined as shortening of the metatarsal bones. A combination of hallux varus and brachymetatarsia is rare. A 15-year-old girl presented to our outpatient clinic complaining of problems with her feet. A distinctive hallux varus was present bilaterally combined with a brachymetatarsia of the first metatarsals. The patient reported discomfort. She was restricted in her activities and had severe psychological strain owing to the deformity. We decided on surgery. First, a Pennig MiniFixator for callus distraction of the first metatarsal bone was applied. Owing to the increased plantar subluxation of the phalanx during distraction, an extension of the external fixator was administered so that the hallux could be repositioned to a physiologically satisfying position. After sufficient callus formation, the hardware was removed 14 weeks after surgery. Thereafter, the phalanx moved back to the subluxed position. Finally, an arthrodesis of the first metatarsophalangeal joint was performed with a locking plate. Surgery should not be made only for cosmesis and associated psychological aspects; but, discomfort should be the deciding factor. The postoperative clinical and cosmetic results in our case were good, and the patient was quite satisfied. There was no longer any preoperative discomfort and pain.

scholarly journals Osteoid osteoma of the second metatarsal bone diagnosed on MRI: A case report and literature review

2022 ◽  
Vol 17 (3) ◽  
pp. 423-426
Author(s):  
Mohammad Hossein Daghighi ◽  
Masoud Mahmoudpour ◽  
Ali Akhavi Milani
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Osteoid Osteoma ◽  
Metatarsal Bone ◽  
Second Metatarsal

Role of Ultrasound in Early Diagnosis of Stress Fracture: A Case Report of Bilateral Distal Fibular Stress Fracture in a Female Recreational Badminton Player

2021 ◽  
Vol 111 (1) ◽  
Author(s):  
Hak Jun Kim ◽  
Young Hwan Park ◽  
Jae Young Kim ◽  
Gi Won Choi
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Stress Fracture ◽  
Callus Formation ◽  
Resonance Imaging ◽  
Ankle Pain ◽  
Distal Fibula ◽  
Alternative Modality ◽  
The Right

A 34-year-old female recreational badminton player presented with left ankle pain 1 week after a recreational badminton game. She reported experiencing a similar pattern of pain in her right ankle 4 months before that had persisted for 3 months. On plain radiography, callus formation was evident on the right distal fibula, and a subtle lesion was observed on the left side. Ultrasound was performed with the clinical suspicion of bilateral, nonsimultaneous, distal fibular stress fracture. Focal hyperechoic thickening of the periosteum with irregularity and hypoechoic periosteal edema over the left distal fibula were identified. These findings were consistent with stress fracture, and an early phase of distal fibular stress fracture was diagnosed. This case report highlights that ultrasound can be an alternative modality to magnetic resonance imaging or bone scan scintigraphy for the early diagnosis of stress fracture.

scholarly journals Tubercular osteomyelitis of the second metatarsal bone: case report

2007 ◽  
Vol 8 (4) ◽  
pp. 182-184
Author(s):  
F. Muratori ◽  
A. Menghi ◽  
M. Fantoni ◽  
E. Visconti ◽  
F. Pezzillo ◽  
...  
Keyword(s):  
Case Report ◽  
Metatarsal Bone ◽  
Second Metatarsal

Osteoid osteoma at the base of the second metatarsal bone: case report

1998 ◽  
Vol 4 (2) ◽  
pp. 83-86 ◽  
Author(s):  
L. Massari ◽  
A. Iirillo ◽  
F. Brandolini ◽  
P. Colamussi
Keyword(s):  
Case Report ◽  
Osteoid Osteoma ◽  
Metatarsal Bone ◽  
Second Metatarsal

Popliteal artery thrombosis secondary to a tibial osteochondroma

VASA ◽  
2011 ◽  
Vol 40 (3) ◽  
pp. 251-255 ◽  
Author(s):  
Gruber-Szydlo ◽  
Poreba ◽  
Belowska-Bien ◽  
Derkacz ◽  
Badowski ◽  
...  
Keyword(s):  
Case Report ◽  
Magnetic Resonance Angiography ◽  
Popliteal Artery ◽  
Doppler Ultrasonography ◽  
Histopathological Examination ◽  
Previous History ◽  
Plain Radiography ◽  
Artery Thrombosis ◽  
History Of ◽  
The Right

Popliteal artery thrombosis may present as a complication of an osteochondroma located in the vicinity of the knee joint. This is a case report of a 26-year-old man with symptoms of the right lower extremity ischaemia without a previous history of vascular disease or trauma. Plain radiography, magnetic resonance angiography and Doppler ultrasonography documented the presence of an osteochondrous structure of the proximal tibial metaphysis, which displaced and compressed the popliteal artery, causing its occlusion due to intraluminal thrombosis..The patient was operated and histopathological examination confirmed the diagnosis of osteochondroma.

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