OCAD MSK

History

Hx 40F 3 weeks pain and tenderness, suspect MT fracture

Figure 1 for case Strain transverse head of adductor hallucis muscle ( RID3178 ) — Figure 1

Figure 2 for case Strain transverse head of adductor hallucis muscle ( RID3178 ) — Figure 2

Figure 3 for case Strain transverse head of adductor hallucis muscle ( RID3178 ) — Figure 3

Figure 4 for case Strain transverse head of adductor hallucis muscle ( RID3178 ) — Figure 4

Discussion

Unusual case of metatarsalgia. No fracture. Long axis image suggests a strain of the tansverse head of Add Hall, but muscle injury is barely visible in Sag and Cor short axis. This is primarily a myofascial straing with post-traumatic intermuscular fluid tracking between the 3rd layer (Add Hall), 2nd layer (FDL) and 1st layer (FDB) muscles and tendons at the plantar forefoot.

Diagnosis

Strain transverse head of adductor hallucis muscle ( RID3178 )

Hilary Umans, MD

Courtesy

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