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The obvious diagnosis is calcaneal fracture. However, it is important to note that as many as 7% of patients with calcaneal fracture may have fracture of the contralateral heel.
Given the appropriate mechanism of injury (i.e., a fall from an adequate height), care must be taken to thoroughly examine both lower extremities to exclude the presence of bilateral injuries.
Acknowledgment: Case presented by Nahum Kovalski, BSc, MDCM.
Clinical Challenge: May, 2008
Nahum Kovalski, BSc, MDCM
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