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Diagnosis: There is a suspicious line (circled) indicative of a non-displaced, intra-articular pilon fracture in the distal tibia. Further views are recommended.
Typically, such injuries are the result of axial compression forces, such as those that might occur in ski accidents and car crashes, with the distal tibia compressing against the talus.
This patient was casted in the urgent care center and referred for orthopedic follow-up.
Case presented by Nahum Kovalski, BSc, MDCM, TEREM Immediate Medical Care, Jerusalem
[taq_review]
16-year-old male falls from motorcycle, takes blow to right ankle
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