History A 45-year-old farm worker is bought to the hospital by his wife. While changing the wheel of his tractor earlier today, the jack collapsed and the tyre landed on his left foot before rolling off. He felt an immediate sharp and stabbing pain which was exacerbated by walking. His foot began to swell despite ice and elevation. Worried that he may have fractured a bone they attended the minor injuries unit that evening. He has no relevant past medical history but is a smoker of 20 pack-years.

Examination Examination reveals a swollen left foot with bruising centered on the plantar arch. The patient is in continued discomfort, with the medial aspect of the foot being most tender over the first metatarsal. He is sent for a foot radiograph before further management is planned. *This image-based case is from Docplexus Editorial Team for educative purposes only. Source: 100 Cases in…