Ankle pain: Difference between revisions
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==Evaluation== | ==Evaluation== | ||
===Workup=== | ===Workup=== | ||
====Acute traumatic=== | ====Acute traumatic==== | ||
*Consider x-rays | *Consider x-rays | ||
**Use [[Ottawa Ankle Rules]] for acute ankle injuries to determine need for x-rays | **Use [[Ottawa Ankle Rules]] for acute ankle injuries to determine need for x-rays | ||
====Atraumatic / Subacute=== | ====Atraumatic / Subacute==== | ||
*Consider x-rays | *Consider x-rays | ||
*Consider labs for infectious workup (i.e. [[septic joint]]) | *Consider labs for infectious workup (i.e. [[septic joint]]) | ||
| Line 29: | Line 29: | ||
===Diagnosis=== | ===Diagnosis=== | ||
====Acute traumatic==== | |||
*Typically determined by imaging | |||
====Atraumatic / Subacute==== | |||
* | |||
==Management== | ==Management== | ||
Revision as of 22:38, 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: ankle
Diagnosis
Acute traumatic
- Typically determined by imaging
Atraumatic / Subacute
Management
- Posterior Ankle Splint
- Ortho referral for fractures/dislocations