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Palermo's inconsistent form continued with this draw at the Stadio Franchi.
Siena were without a win since the end of October and were sliding back towards the drop zone, while the Rosanero were hoping to prove their away credentials after winning and losing 4-0 in the past week.
David Di Michele almost scored with a classic 'Del Piero style' curler from just inside the area that bounced on to the crossbar with Alex Manninger rooted to the spot.
Erjon Bogdani's header was off target and Amauri nodded over the bar, but the Brazilian limped off with an injury.
Fabio Simplicio finally broke the deadlock on the stroke of half-time, his rocket from outside the area flying into the top corner past a helpless Manninger.
The lead lasted just 60 seconds, as ex-Rosanero man Leandro Rinaudo rose for a glancing header on Tomas Locatelli's free kick across the face of goal.
Siena wasted an incredible opportunity to take the lead on 57 minutes. Truly extraordinary, Bogdani fired the ball on to the crossbar six yards from a totally open goal. The 'keeper was already behind him at the time. To add insult to injury - or injury to injury - Bogdani clattered head-first into the upright as he chased the ricochet.
Palermo also lost goalkeeper Alberto Fontana to injury when Mario Frick accidentally trod on his hand, making way for Federico Agliardi.
Manninger took two touches to get an Eugenio Corini strike under control and Molinaro struck the side-netting, while Fabio Simplcio's attempt was blocked.
Siena Coach Mario Beretta was sent off for dissent, his third red card of the season, curiously all of them at the Stadio Franchi.
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