QuestionSBA
QuestionChoice
There are a few factors that make a fracture more likely than a simple sprain or strain. The inability to weight bear, immediate swelling and bony tenderness all suggest a fracture. The mechanism of injury suggests a base of the 5th metatarsal fracture.
10027762
b
Ankle sprain
QuestionChoice
There are factors suggesting a fracture such as the inability to weight bear. However, the bony tenderness to just the lateral aspect of the foot makes a metatarsal fracture more likely than an ankle fracture.
10027763
c
Ankle fracture
QuestionChoice
The patient describes sudden inversion of her foot, this will put pressure on the tendon to the 5th metatarsal. This causes an avulsion fracture as the force pulls off part of the bone.
10027761
a
5th metatarsal fracture
QuestionChoice
Charcot arthropathy describes a damaged joint secondary to loss of sensation. It is common in diabetics. For this patient, there is no description of loss of sensation and her symptoms have started more acutely following an injury.
10027765
e
Charcot arthropathy
QuestionChoice
This patient's description of her injury does not fit with an Achilles tendon rupture. She may have described a loud pop or snap. The twisting she describes is not typical for the mechanism of injury of Achilles tendon rupture. Furthermore, this injury is most common in men aged 30-50 years old.
10027764
d
Achilles tendon rupture
Concept
Chapter
2693
4186
Foot fractures
Topic
145
Orthopaedics
17950
A 15-year-old female patient presents to A+E having injured herself during a PE lesson at school. She describes "landing funny" on her left foot and that she "went over on it". Since this incident, she has been unable to weight bear. On examination, the left foot is swollen and there is bony tenderness along the lateral aspect of the left foot.

What is the most likely diagnosis?
a