Orientation of the apophysis of the fifth metatarsal is parallel to the shaft (circle) and should not be confused with a fracture. (A non-displaced, transverse fracture of the metatarsal is also present but difficult to see on this radiograph.)
Reproduced with permission from: Jarvis JG, Moroz PJ. Fractures and Dislocations of the Foot. In: Rockwood and Wilkins' Fractures in Children, 6
th ed, Beaty JH, Kasser JR (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Copyright © 2006 Lippincott Williams & Wilkins.
www.lww.com.