differential diagnosis for metatarsal region pain
Forefoot pain in the metatarsal region is a common complaint and may be caused by a number of conditions. It is worthwhile for a radiologist to have knowledge of the potential causes and their imaging features .
Pathology
Etiology
Trauma
- turf toe
- plantar plate disruption
- sesamoiditis
- stress fracture
- stress response
- subchondral insufficiency fracture
- radiographically occult fracture
Infection
Joint disorders
Tendon disorders
Non-neoplastic soft-tissue masses
- ganglia
- bursitis
- foreign body granuloma
- calluses
- Morton neuroma
- plantar fibromatosis
- hemangioma
- tenosynovial giant cell tumor
- tendon sheath fibroma
Neoplastic masses
- bone tumors: rare in feet but when present commonly cause pain, most common giant cell tumor of bone, chondromyxoid fibroma, osteochondroma
- benign soft-tissue tumors: most common lipoma, nerve sheath tumor
- malignant soft-tissue tumors: most common synovial sarcoma
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