The patient is a 28-year-old female who presents with pain in her left foot after a fall of roughly 10 feet while rock-climbing. She reports that she “landed hard” with the left foot taking the full force of the impact. On exam, she had left midfoot dorsal and plantar tenderness and bruising across top of foot.

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

Clinical Challenges 28-Year-Old with Foot Pain X-Ray
Figure 1 – The X-Ray
A 28-Year-Old with Foot Pain After a Fall
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