Patient was present to have a serial cast removed from her right foot.Mom was seated with patient on mat table holding her upper body while staff stabilized her right leg to remove cast.Staff began cast cutting at medial, distal foot and completed to top of the cast.When staff began cutting other side of cast (lateral aspect at toes), other staff pointed out blood dripping from cast near right medial ankle.Finished removing cast with saw as we could not see what was going on.After cutting lateral aspect of cast without incident, cast material was removed and noted laceration at right navicular.Patient's wound was cleaned, dressed and wrapped and mom took patient to ed per recommendation of therapist.
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