Severe Right Foot Pain After Traumatic Injury In An Athlete

A 15-year-old young female athlete was presented with a complaint of right foot pain after a traumatic injury. The patient noticed an obvious foot deformity with immediate swelling, severe pain, and the inability to bear weight on her right foot. No past medical history. No surgical history. No medications. Physical Exam: GEN: AAOx3, moderate-severe distress secondary to pain CV: Tachycardic, regular rhythm, no murmurs, rubs, or gallops RESP: CTA bilateral MSK of right foot: Severe lateral deformity of the midfoot with significant edema extending just proximal to the ankle.

Tenting of the skin due to medial bony protrusion, no skin breaks. Brisk capillary refill of her five digits and 2+ pulses of her dorsalis pedis and posterior tibial arteries. Exquisite TTP over her midfoot. Her ankle and lower leg were non tender to palpation. Ankle ROM was severely limited due to pain and edema.…