ABSTRACT

Tip: This is a fracture/dislocation of the tarsometatarsal joints. Look at the alignment on the normal foot radiograph; i.e. on the anterior view the medial border of the 2nd metatarsal should be in line with the medial border of the intermediate cuneiform bone, and on the oblique view the medial border of the 3rd metatarsal should align with the medial border of the lateral cuneiform:

Tip: These metastases are most commonly from prostate cancer (in adult males) and breast cancer (in adult females). They can also arise from brain, bronchial, bowel and bladder tumours and from lymphomas. They occur frequently in the vertebrae and pelvis.