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(a-c) Right foot plain films (lateral, DP, and oblique) showing no acute fractures or joint spacing abnormalities.
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Given the apparent acute-on-chronic nature of this event, and focal tenderness over the medial midfoot on exam combined with an inability to bear weight, x-ray imaging was obtained which showed no obvious acute fractures or significant joint space disruption (Figure 1).
(a, b) Right foot T1-weighted MRI, lateral and axial planes, showing a non-displaced oblique fracture line in the medial cuneiform. Arrow denotes the fracture line.
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Magnetic resonance imaging (MRI) showed an isolated fracture of the medial cuneiform (Figure 2).