Had a 10 year old girl present with acute pain, limping into clinic. Shyly tells me “I kicked my brother and have been unable to walk on my (left) foot since.” o/e the fifth met head is really really tender suspect a possible maybe # of some kind, bone burise at the very least – after some assessment and unable to get an X-Ray today decided to firbreglass cast – this had no effect on her ability to walk – removed the cast as she is still in pain – any ideas on further Tx have got her in an old jogger with the sides cut out and am reviewing her when x-ray’s are carried out, any ideas anyone??? – last patient of the day and now i have a need for a headache any ideas wellcome many thanks Shaun
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fracture distal 5th metatarsal head
