What's the Diagnosis? By Dr. Rebecca Fieles
A 44 yo M presents to the ED w/ L foot and ankle pain. He was running and stepped into a hole, stating he heard a "crack". He has been unable to bear weight since the injury. On exam, he has swelling and marked bony tenderness of both the lateral and medial malleoli and heel. Xrays of the L foot were obtained. What's the diagnosis? (scroll down for answer)