Ball and socket ankle joint
Lateral ankle pain post fall.
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Ball and socket ankle joint with associated extensive tarsal coalition. Absent and rudimentary rays are present.
Undisplaced oblique fracture through the distal malleolus.
This case has an almost full hand of associations (tarsal coalition and absent rays) of a ball and socket ankle joint. Despite the impressive congenital anomalies, it is important to spot any pathology, which in this case is a distal fibular fracture.