A 37-year-old woman was brought to the emergency department following an accident at a local tourist attraction. She was careering downhill in a type of small 4-wheeled go-kart with handle bars for steering, foot brakes with no engine. To avert a collision with another person with wheeled go kart, she tried to come to a sudden stop. Unfortunately, instead of using the foot brakes she reflexively put her right foot out of the wheeled kart onto the fast-moving ground; she heard a loud ‘crack’ and experienced immediate pain in her right ankle as she crashed. Upon arrival of the ambulance, her right lower limb was splinted and she was given IV morphine for pain.
Her vital signs were within normal limits and she is GCS 15. Attached herewith is the image of the ankle after removal of footwear. What do suggest should be the further plan of treatment for this fracture? *This case is from…
