Other Studies:
Point of care Ultrasound at initial clinic visit: 2.3 x 1.5 x 0.8 cm fluid filled hypoechoic cystic structure noted, without doppler flow. Hypoechoic area is compressible and painful to sonopalpation. Fluid does not appear to communicate with the ankle joint. There is a subtle cortical irregularity of the distal tibia. <a href="CaseStudyImages/CS1-872.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> and <a href="CaseStudyImages/CS2CS1872jpg-872.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a>
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<br>X-ray of L ankle 3 view shows a non-displaced fracture of the medial malleolus, extending to the articular surface. No step-off is noted. Growth plates are closed. <a href="CaseStudyImages/CS3CS2CS1872jpg872jp-872.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> and <a href="CaseStudyImages/CS4CS3CS2CS1872jpg87-872.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a>
Consultations:
The case was discussed with Orthopedics due to extension of fracture into the joint. It was determined to be stable in appearance, and no CT scan was recommended.
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