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The x-ray shows a widening that is consistent with a severe sprain or deltoid ligament tear. This is a subtle but clinically very important finding; a cast splint, elevation, and ice along with early orthopedic follow-up are indicated.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM.

Clinical Challenge: January, 2008

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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