The patient, a 4-year-old boy, tripped and twisted his right ankle. He was not able to bear weight on his right foot.
View the image taken (Figure 1) and consider what your diagnosis would be.
Resolution of the case is described on the next page.

Clinical Challenge: June, 2013

Nahum Kovalski, BSc, MDCM

Clinical Researcher at TEREM Emergency Services
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