Orientation of the apophysis of the fifth metatarsal is parallel to the shaft and should not be confused with a fracture. (This patient also has an undisplaced, transverse fracture.)
Reproduced with permission from: Jarvis JG, Moroz PJ. Fractures and Dislocations of the Foot. In: Rockwood and Wilkins' Fractures in Children, 6th ed, Beaty JH, Kasser JR (Eds), Lippincott Williams & Wilkins, Philadelphia 2006. Copyright © 2006 Lippincott Williams & Wilkins.
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