CASE
A 21-year-old male was riding on his skateboard when he sustained a mechanical fall. He complained of right forefoot swelling and pain along the dorsolateral aspect of his midfoot. A radiograph taken at the local emergency department revealed "a fracture," but the patient did not seek any further care at that time. Two weeks after the injury, he presented to the urgent care clinic for follow-up of continuing mild foot pain.
On examination, his gait was slightly antalgic and he had some minor difficulty bearing full weight on the affected limb. Minor swelling was observed over the dorsolateral portion of his midfoot. However, the patient did not have significant midfoot tenderness on palpation. He was neurovascularly intact distally, and the ankle and knee of the affected extremity demonstrated full range
of motion. Resolving ecchymosis was visible along the site of injury. Plain radiographs were obtained at this visit (Figure 1). What does this image reveal?
