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Download the article PDF: Clinical Challenges June 2025

A 13-year-old boy presents to urgent care after “rolling” his left foot. He explains that he tripped on a cement curb while riding his skateboard. He has foot and ankle pain that is worse with weight. An x-ray is ordered.

Review the image and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page.

Figure 1. The X-ray
13-Year-Old With Inversion Injury