Fig. 2From: Delayed recognition of pediatric calcaneal osteomyelitis: a case reportDifficult examination due to patient distress. The foot and ankle has been held in a moderate degree of plantar flexion and internal rotation. Soft tissue swelling and posterior effusion is noted. Allowing even for the immature skeleton and positioning there appears to be significant widening of the subtalar joints and as this is the specific area of tenderness, bruising, inflammation, and some subtalar subluxation is suspectedBack to article page