MedBugs: SAQ #184

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Case: Trimalleolar ankle fracture-dislocation

A 65-year-old woman presents after slipping on a wet floor and is unable to weight-bear on her left ankle. X-rays are provided.

$Trimalleolar ankle fracture-dislocation$

1. State four radiological abnormalities present on the X-ray. 4 marks

2. State the overall impression of these X-rays. 1 mark

3. List six complications that could be associated with this injury. 3 marks

The foot is pale and has sluggish capillary return. The patient is not fasted and there is no orthopaedic service at your hospital.

4. How does this impact your immediate management? 1 mark

5. What would you tell the patient their ongoing management will require? 2 marks

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