Young Boy With Lateral Foot Pain

A 7-year-old boy presented to the emergency department after sustaining a fall. He described pain on the lateral aspect of his left foot. On examination, there was mild swelling and point tenderness of the base of his left fifth toe. An anteroposterior radiograph of the foot revealed dislocation of the fifth metatarsophalangeal joint, although it was impossible to identify the injury on a medial 30-degree oblique view (Figure).

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