A 65-year-old farmer presents to the ED after his ankle was run over by a piece of farm equipment in the field. His x-ray is shown above (Figure 1: Case courtesy of Dr. Oyedepo Victor Olufemi, radiopaedia.org) He also has an associated soft tissue injury overlying the area that is grossly contaminated with mud and manure.
Resources & References:
Check out the 2-minute ankle exam and the approach to the traumatic ankle for more tips and tricks.
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- Bowen TR, Widmaier JC. Host classification predicts infection after open fracture. Clin Orthop Relat Res. 2005 Apr;(433):205-11. PMID: 15805959.
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