16 Year Old Elite Female Gymnast With Foot Pain

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16 Year Old Elite Female Gymnast With Foot Pain - Page #3

Lab Studies: Vitamin D 25OH level 29 Other Studies: X-ray Right Foot 5/9/13 Case Photo #1 : Fragmentation of dorsal proximal aspect of navicular and os trigonum MRI Right Foot 5/9/13 Case Photo #2 : Increased signal throughout the navicular bone. 5 mm linear area of decreased signal dorsal aspect of navicular consistent with remote injury. CT Scan Right Foot 5/24/13 Case Photo #3 : 8 x 3 x 4 mm ossification from the proximal dorsal aspect of the navicular consistent with remote avulsion fracture. 6.5 mm linear radiolucency from the dorsal navicular bone at donor avulsion site tracking medially with surrounding sclerosis. This is consistent with chronic incomplete obliquely oriented navicular stress fracture. Case Photo #4 Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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