Description
A 32-year-old man, a farmer, presented with chronic pain in his left foot of 9 years duration. There was no history of trauma. Pain was typically aggravated by walking in the fields (uneven ground) or after prolonged standing. Several orthopaedists had treated this condition as an ankle sprain and plantar fasciitis for the past 9 years. However, the symptoms persisted. Clinical examination revealed a normal gait and normally arched left foot. No swelling was noted anywhere in the foot and ankle. Tenderness was noted over the lateral border of the foot, close to the calcaneocuboid joint. Eversion of the foot was characteristically painful and limited.
A bony prominence was noted distal to the fibula on plain X-rays (anteroposterior and lateral views) of the ankle (figure 1). MRI (1.5 T) study of the ankle observed a well-corticated bone lateral to the tip of the lateral malleolus articulating with the...
from #MedicinebyAlexandrosSfakianakis via xlomafota13 on Inoreader http://ift.tt/1UEvmcp
via IFTTT
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου