Module 65, General Orthopaedist Level

This patient is a six year old male with a three week history of right foot pain. The mother and patient relate no history of trauma. Patient came home from school three weeks ago with pain and swelling over the medial aspect of the right foot. Symptoms have persisted for past three weeks. Mother states patient has been ambulating with a limp. There is tenderness to palpation and minimal swelling over the medial aspect of the right navicular.

Question 65A

Treatment in a short leg walking cast is recommended.

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Question 65B

This called Freiberg's disease.

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Question 65C

This condition is usually bilateral and an x-ray of the opposite foot should always be obtained.

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Question 65D

Repetitive trauma is part of the etiology of this disease.

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Question 65E

Usually this condition causes temporary stiffness of the subtalar joints.

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