Ankle pain: Difference between revisions
Line 26: | Line 26: | ||
**Coags | **Coags | ||
**ESR/CRP | **ESR/CRP | ||
*Consider [[ | *Consider [[Arthrocentesis: ankle|arthrocentesis]] | ||
===Diagnosis=== | ===Diagnosis=== |
Revision as of 22:39, 13 May 2021
Background
Clinical Features
- Ankle pain
Differential Diagnosis
Other Ankle Injuries
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Foot diagnoses
Acute
- Foot and toe fractures
- Subtalar dislocation
- Metatarsophalangeal joint sprain (turf toe)
- Acute arterial ischemia
- Calcaneal bursitis
Subacute/Chronic
- Diabetic foot infection
- Peripheral artery disease
- Plantar fasciitis
- Trench foot
- Ingrown toenail
- Paronychia
- Tinea pedis
- Morton's neuroma
- Diabetic neuropathy
Evaluation
Workup
Acute traumatic
- Consider x-rays
- Use Ottawa Ankle Rules for acute ankle injuries to determine need for x-rays
Atraumatic / Subacute
- Consider x-rays
- Consider labs for infectious workup (i.e. septic joint)
- CBC
- Chemistry
- Coags
- ESR/CRP
- Consider arthrocentesis
Diagnosis
Acute traumatic
- Typically determined by imaging
Atraumatic / Subacute
Management
- Posterior Ankle Splint
- Ortho referral for fractures/dislocations