Ankle disarticulation

Case contributed by Rodney Strahan
Diagnosis almost certain

Presentation

Infection and unable to walk following a visit to a traditional healer.

Patient Data

Age: 25 years
Gender: Female
x-ray

There is disarticulation of the ankle with no talus or foot present bilaterally. Soft tissue loss over the distal tibia and fibula is seen.

x-ray

Magnified distal tibia and fibula demonstrate distal fractures and bony lucency due to ischemia.

Case Discussion

History of treatment with a traditional healer.  In this case, the chronic ischemia was caused by bandaging around the ankles.

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