The patient is a 6-year-old boy who cried out in pain after jumping off the fourth step of the stairs in his house yesterday, landing hard on his feet. His mother reports that he has been limping ever since. She applied ice at home, hoping the pain would resolve overnight. It did not.
On exam, you note the pain is located at the base of the first/second metatarsal.
View the images taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.