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A father brings his 5-year-old son to your urgent care center with a primary complaint of pain in his right foot. There was no report of trauma or injury. Dad has noticed the boy limping for the past few days and he points to the right foot.

You note swelling in the midfoot area. The boy’s pain is evident as he walks with a limp and has tenderness in the area of swelling on the arch of the midfoot. He is afebrile.              

Review the images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next screen.

A 5-Year-Old with Foot Pain of Unknown Origin