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The correct read of the x-ray is fracture of the third, fourth, and fifth metatarsals.

The child was placed in a plaster splint, and the parents were advised to follow up with an orthopedist the next day. Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM.

Clinical Challenge: July 2008

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services