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A 5-year-old boy has had pain in the right foot for the past month. Examination reveals tenderness and mild swelling in the region of the tarsal navicular. Radiographs are shown in Figure 30. Management should consist of
biopsy of the tarsal navicular.
curettage and bone grafting of the tarsal navicular.
CBC count, C-reactive protein level, erythrocyte sedimentation rate, blood cultures, and IV antibiotics.
symptomatic treatment with restriction of weight bearing or application of short leg cast.
medial column lengthening of the foot through the tarsal navicular.
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A 6-year-old boy presents to your office with foot pain that is increasing in severity. His parents state he has recently been limping. There is no history of trauma and he is otherwise healthy. Radiographs are shown in Figures A and B. Which of the following is the most appropriate treatment for this child?
Open biopsy and curettage
Long leg non-walking cast
Short leg walking cast
A 5-year-old boy presents with a limp and pain over the medial aspect of the foot. Radiographs are shown in figures A and B. Orthotics have failed to improve his symptoms. What is the next appropriate management of this condition?
IV antibiotics with irrigation and debridement
short-leg walking cast