REBEL Core Cast – Basics of EM – Ankle and Foot Injuries

Take Home Points

  • Sprains need more support than just an ace wrap – place them in an aircast or a splint
  • Perform a thorough physical exam – take off their shoes and socks
  • Lisfranc and Maisonneuve injuries are often missed – make sure to exam the bottom of the foot for echymosis, eval for mid foot instability, and image the upper tib/fib
  • Make sure to evaluate pulses and sensation after splint application – give return precautions for compartment syndrome
  • Ambulate the patient and obtain further imaging if they can’t walk – foot XR’s are notoriously difficult to read, get a CT if there is any question of a fracture
  • Obtain stress views when indicated – many fractures or pathologic connective tissue injuries are not visualized unless in these situations

REBEL Core Cast – Basics of EM – Ankle and Foot Injuries

Click here for Direct Download of the Podcast

Co-Host

Michael P. Jones, MD
Vice Chair for Education and Residency Director
Associate Professor of Emergency Medicine
Albert Einstein / Jacobi + Montefiore
Bronx, NY
Instagram: jacobimonteem
Twitter: @treatNstreetEM @Jacobi_EM

Post Peer Reviewed By: Anand Swaminathan, MD (Twitter: @EMSwami)

Cite this article as: Ellsworth Wright, "REBEL Core Cast – Basics of EM – Ankle and Foot Injuries", REBEL EM blog, June 1, 2022. Available at: https://rebelem.com/rebel-core-cast-basics-of-em-ankle-and-foot-injuries/.

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