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Resolution of the case is described on the next page.

Resolution
This x-ray demonstrates fractures of both the talus and the base of the fifth metatarsal (arrows). A cast or bracing with a splint, and follow-up with an orthopedist, is appropriate for this patient.

Acknowledgement: Case [resented by Nahum Kovalski, BSc, MDCM, Terem Emergency Medical Centers, Jerusalem, Israel.

Clinical Challenge: March, 2012

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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