An Unusual Cause of Limp in a Toddler Jillian Stevens Savage, DO, Magdy Attia, MD, Richard Kruse, DO  Annals of Emergency Medicine  Volume 67, Issue 2, (February 2016) DOI: 10.1016/j.annemergmed.2015.05.008 Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 1 Initial ED presentation: refusal to bear weight on the right foot. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.008) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 2 Lateral ankle radiograph demonstrating lucency of the posterior aspect of the talus and soft tissue swelling of the ankle joint. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.008) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 3 MRI T2-weighted sagittal view of the ankle with fat suppression demonstrating high signal intensity and enhancement of the talus. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.008) Copyright © 2016 American College of Emergency Physicians Terms and Conditions

Figure 4 Intraoperative incision and drainage of posterior talus by fluoroscope. Annals of Emergency Medicine 2016 67, DOI: (10.1016/j.annemergmed.2015.05.008) Copyright © 2016 American College of Emergency Physicians Terms and Conditions