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Resolution

The patient suffered a cortical avulsion fracture of the navicular bone. This injury is usually associated with ligamentous injury of the mid-foot.

Apply a posterior short leg-splint and recommend orthopedic follow-up.

Acknowledgement: Case presented by Nahum Kovaslki, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

Clinical Challenge 2: April 2010