0:00

This patient is a sports player

0:03

with chronic lateral foot pain.

0:06

Here we have three projections of the foot.

0:09

The lateral includes also portion of the hind foot.

0:12

So as part of our checklist, we're making sure we're looking

0:14

at the Tailless Calcaneus Show part articulation

0:20

and what would catch your eye is at the base

0:23

of the fifth metatarsal,

0:25

or in the proximal fifth metatarsal.

0:27

We have this transverse lucency.

0:29

As we go to our other projections here on the oblique,

0:33

we can see a lucency of the fifth metatarsal.

0:36

When you identify this finding, you'd like to know,

0:38

is it closer to the attachment site of the peroneous brevis,

0:43

meaning involving the very proximal fifth metatarsal?

0:47

Is it near the metaphysis potentially going into the joint,

0:50

or is it more of a dia faial lesion?

0:53

Here we can see it along the diaphysis,

0:55

and actually there's mineralized periosteal,

0:58

new bone formation, indicating

1:00

that this is not an acute injury,

1:02

but more of a chronic ongoing process

1:05

with some evidence of healing.

1:07

And a fracture in this location has an eponine, is known

1:10

as a Jones fracture.

Case: Jones Fracture

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