1. MedPix Medical Image Database COW - Case of the Week Case Contributor: Mark D Travis Affiliation: National Naval Medical Center Bethesda

2. MedPix No: 10187 - History Pt Demographics: Age = 53 y.o. Gender = man Man dropped wheelbarrow on foot while moving dirt in his yard. Fealt snap and pop in foot. Now has extreme pain and swelling. He did not come to the doctor for over a week as he thought it was only a bruise. Downloaded by (-1)

3. MedPix No: 10187 - EXAM & LABS Pain and swelling at lateral aspect of foot.

4. Fractures of the base of the fifth metatarsal Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute. Downloaded by (-1)

5. Fractures of the base of the fifth metatarsal Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute. Downloaded by (-1)

6. Fractures of the base of the fifth metatarsal Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute. Downloaded by (-1)

7. FINDINGS Fracture of the left foot 5th metatarsal with associated swelling. There is callus formation suggesting this is subacute.

8. DIFFERENTIAL DIAGNOSIS What is your Differential Diagnosis? Fracture of base of 5th metatarsal - Jones Fracture (>1.5 cm from proximal tip) - Normal apophysis of 5th metatarsal -

9. Diagnosis: Fractures of the base of the fifth metatarsal Dx Confirmed by: Radiograph

10. DISCUSSION See factoid