PMC5516090_01
Preoperative weight bearing x-rays of the left foot: a) antero-posterior view showing an alteration of the articular surface of the head of the second metatarsal, which appears flattened and sclerotic; b) particular of the first figure of the second metatarsal head. In this figure the alteration is clearly visible and it seems that the head is fragmented; c) lateral (lateral oblique) view showing the lesion. In this figure, Freiberg's infraction grade IV could be conceivable.
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Weight-bearing x-rays of antero-posterior and latero-lateral projections and an oblique view of her left foot were taken at our clinic (Fig. 1).
a-c) antero-posterior CT images of the left foot showing the fragmentation and flattening of the second metatarsal head; d, e) Sagittal CT images showing flattening and fragmentation of the second metatarsal head, in particular in its superior part, confirming the diagnosis.
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The patient underwent a computerized tomographic (CT) scan of her foot (Fig. 2a-e).