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James S. Keene, MD; Richard H. Lange, MD

JAMA. 1986;256(2):247-251.

Abstract
Differential diagnosis of foot and ankle injuries should include (1) stress fractures of the great toe sesamoids, the shaft of the fifth metatarsal, and the tarsal navicular bone; (2) transchondral talar-dome fractures; (3) fractures of the os trigonum; and (4) dislocating peroneal tendons. Diagnosis of these injuries is challenging because the initial roentgenograms often are normal, and special clinical tests and ancillary studies are required.

(JAMA 1986;256:247-251)

Author Affiliations
From the Division of Orthopedic Surgery, University of Wisconsin Clinical Science Center, Madison.

Footnotes
Reprint requests to Division of Orthopedic Surgery, University of Wisconsin Clinical Science Center, 600 Highland Ave, Madison, WI 53792 (Dr Keene).

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