A 21 year-old woman with a history of anorexia nervosa...

Layla

Active member
A 21 year-old woman with a history of anorexia nervosa presents to the emergency department with 1 week of progressive, activity-induced, right foot pain that has become constant. The pain is relieved with rest, and she denies trauma. She is the star on her college track and field team, preparing for a national competition coming up. In exam, she has tenderness to the fifth metatarsal with associated edema. What is the most likely diagnosis?


A. Exertional Compartment Syndrome

B. Jones Fracture

C. Pseudo-Jones Fracture

D. Stress Fracture
 

Layla

Active member
Here's my opinion, the X-ray goes with both (as the fracture starts in the shaft and ends in the diaphysis-metaphysis junction), but the history are more suggestive of stress (athlete and no hx of trauma), either way they both have similar complications and treatment.
 

Eleanor

Active member
A 21 year-old woman with a history of anorexia nervosa presents to the emergency department with 1 week of progressive, activity-induced, right foot pain that has become constant. The pain is relieved with rest, and she denies trauma. She is the star on her college track and field team, preparing for a national competition coming up. In exam, she has tenderness to the fifth metatarsal with associated edema. What is the most likely diagnosis?


A. Exertional Compartment Syndrome

B. Jones Fracture

C. Pseudo-Jones Fracture

D. Stress Fracture
Definitely a stress fracture.
 
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