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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.

© 2024 The Author(s). Published by Bentham Science Publisher.
This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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2023-10-19
2025-01-10

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/content/journals/cmim/10.2174/1573405620666230831143837
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Ultrasound Diagnostic: Rapid Detection of Second Metatarsal Stress Fracture, Case Report and Literature Study
20, e310823220566 (2024); https://doi.org/10.2174/1573405620666230831143837
/content/journals/cmim/10.2174/1573405620666230831143837
/content/journals/cmim/10.2174/1573405620666230831143837
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  • Article Type:     Case Report
Keyword(s): Abnormalities; Cortical & Periosteal; Forefoot pain; Hyperuricemia; Second metatarsal; Stress fracture; Ultrasound

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