The patient is a 22-year-old male who presents for a pre-employment physical. During the exam, he mentions foot pain of several years’ duration, the origin of which he has no explanation.

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

Claw Foot X-Ray
Figure 1.
A 22-Year-Old with Chronic Foot Pain
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