Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right ankle pain following a high-energy mechanism of injury. Reports inability to bear weight, localized swelling, and ecchymosis over the talus region. No neurovascular deficits noted at the time of injury. Denies numbness or tingling in the foot.
Clinical Examination Findings
Right ankle examination reveals significant edema and ecchymosis surrounding the talar dome. Point tenderness elicited upon palpation of the talus. Range of motion is severely limited due to pain. Neurovascular status: Dorsalis pedis and posterior tibial pulses are palpable (2+). Capillary refill is <2 seconds. Sensation intact to light touch in all dermatomes of the foot.
Treatment Protocol
Initial management includes immobilization with a posterior splint, strict non-weight bearing status, and elevation of the right lower extremity. Analgesics administered for pain control. Orthopedic consultation requested for definitive management (ORIF vs. conservative). Radiographic imaging (X-ray/CT) confirms closed talus fracture.