Unusual and memorable
Unusual and memorable
| The first 150 words of the full text of this article appear below. |
Case Number 21:
A 53 year old woman presented with a one year history of a painful swollen left ankle which prevented full weight bearing. She attributed this to an episode of minor trauma in which she tripped and twisted the ankle. Radiologically there was no evidence of bony injury at the time of the incident.
Her past medical history included Crohn's disease, which had necessitated a small bowel resection for a stricture in 1982 but which had been quiescent for many years apart from a mild anal stricture not requiring surgical intervention. She was a lifelong non-smoker.
Clinically, there was marked soft tissue swelling and
exquisite tenderness over the lateral aspect of the ankle joint.
Unilateral toe clubbing in the same foot was also seen but no evidence
of clubbing elsewhere (fig 1). True ankle and subtalar joint movements were unrestricted. She was not cyanosed and no abnormalities were
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