A 27-year-old man presented to an outpatient physical therapy clinic with left lateral foot pain after playing lacrosse 1 day prior. Ultrasound imaging was performed immediately by the physical therapist, focusing on the fifth metatarsal distal shaft. Images obtained with a 13- to 6-MHz linear transducer demonstrated cortical bone disruption. The patient's primary care physician subsequently ordered radiographs, which demonstrated an obliquely oriented fracture through the shaft of the fifth metatarsal. J Orthop Sports Phys Ther 2018;48(11):903. doi:10.2519/jospt.2018.7884.