Hello doctor,One week ago I have slipped when walking, fell after hitting the curb, and landed on my right foot in an awkward position from small altitude. I was able to walk with minor to moderate pain, and visited the nearest trauma center in an hour, got an X-ray and cast immobilization, and was diagnosed with fractures in second and third metatarsals. I was told to take antithrombotic medications, avoid putting any load on the feet, and basically, that was all. The feet itself did not hurt for the whole week afterward. Today, I visited a different clinic for a check-up, got another X-ray and a different diagnosis (no fracture in the third metatarsal, but a fracture in cuneiform bone). So, I would like to ask to take a look at DICOM X-ray data from the second clinic and check what bones actually have fractures (because I am quite anxious that something could have been missed), and if there are any indications of recovery. Currently, I am taking delayed-release Acetylsalicylic acid as an antithrombotic, Calcium and D3 Vitamin supplements.
Hi. Your radiographs (attachment removed to protect patient identity) do not show any meta-tarsal fracture. However, a medical cuneiform fracture is seen. Probably it could be a Lisfranc injury. An orthopedic consultation is advisable as you would require casting to stabilize the joint. Else you may end up having chronic foot pain due to the resultant altered alignment of foot bones. Take care. For more information consult a radiologist online -->