Ortho Hors D'oeuvres (Prompt):
Patient is a 26 year-old male with a history of Crohn’s disease on 5mg prednisone daily presenting with acute onset left ankle pain while planting the foot in preparation for a kick in soccer.
His physical exam is as follows:
X-rays show:
Questions:
1) What is the likely diagnosis?What risk factors does the patient have and what are other serious risk factors for this injury?
2) What adjunctive tests could be done to confirm the diagnosis?
3) What is the management of this injury?
