18 Year Old Male Athlete With Foot Pain - Page #3
 

Lab Studies:
None.

Other Studies:
Radiographs Left Foot Case Photo #1 Case Photo #2 Lateral: Irregular navicular with an oblique cleft and dorsal prominence. Medial Oblique: Wedge-shaped navicular with medial protuberance, narrow lateral border, and subtle lucency between the medial and lateral portions.

MRI Left Foot Case Photo #3 Case Photo #4 Case Photo #5 Navicular comprised of three parts, each well corticated and demonstrating marrow edema.

CT Left Foot Case Photo #6 Case Photo #7 Case Photo #8 Navicular comprised of three parts, each well corticated. Superior and inferior portions well-approximated and joined by a thin, osseous bridge at the medial aspect. The lateral portion is irregularly shaped, more displaced, and containing areas of lucency within the marrow.

Consultations:
A podiatrist was consulted after imaging demonstrated displacement and developing osteonecrosis.

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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