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Review Question - QID 1021

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QID 1021 (Type "1021" in App Search)
A 10-year-old boy presents with medial foot pain that is severe enough that it limits his daily activities such as walking to school. Physical exam shows tenderness in the medial forefoot 3 cm anterior and inferior to the medial malleolus. A radiograph is shown in Figure A. Nonoperative treatment including orthotics and cast immobilization was attempted for three months without success. What is the most appropriate next step in treatment?
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