History:
A female in her 20’s presents to the ER for ankle pain after falling on her bike. She cannot walk and denies other injuries.
Exam:
Vital signs were normal. She has diffuse ankle and posterior foot pain
Testing:
What is the most likely diagnosis?
- A) ankle sprain – no fracture seen
- B) bi-malleolar fracture
- C) calcaneus fracture
- D) posterior talar avulsion fracture
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ANSWERS:
What is the most likely diagnosis?
- A) ankle sprain – no fracture seen
- B) bi-malleolar fracture
- C) calcaneus fracture – CORRECT: Tongue type cancaneus fracture
- D) posterior talar avulsion fracture
Case Conclusion
- This fracture is unstable and often converts to open within a few days due to the Achilles tendon pulling on the upper fragment. Admission for surgery is prudent