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Answers on p 805.
A 45 year old housewife presented with bilateral painful feet. The pain was located over the metatarsals and was increased by walking and decreased on rest. The initial x ray was normal and the patient was sent home with advice to rest. A provisional diagnosis of metatarsalgia was made. The patient was reviewed after two months with persistent symptoms and a severe antalgic gait;x rays (fig 1) of both feet revealed callus around both second metatarsals, indicating healing fractures.
- What type of fractures are these and what is their aetiology?
- Where are the other sites in the foot that stress fractures can occur?
- What would be the best management at this stage?
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