At the 6 week post-operative follow-up the patient's symptoms were greatly improved with no further pain or swelling. She started weight-bearing as tolerated at this time and was referred to physical therapy for rehabilitation. Unfortunately, the patient was lost to further follow up.
This case highlights the importance of taking a detailed history, including the mechanism of injury. The athlete in this case did not have a clear mechanism to explain her symptoms, which prompted a thorough work-up, leading to the diagnosis. Had the lack of a clear mechanism not been taken into account, she may have been treated for a routine ankle sprain, thus delaying the diagnosis of her infection.
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