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Open Up That Fracture


Author: Alex Tomesch, MD, CAQ-SM
Peer-Reviewer: Dacia Ticas, MD 
Final Editor: Mark Hopkins, MD, CAQ-SM; Will Denq, MD, CAQ-SM

A 65 year old farmer presents to the ED after his ankle was run over by a piece of farm equipment in the field. His x-ray is shown below and he has an associated soft tissue injury overlying the area that is grossly contaminated with mud and manure. 

Figure 1: Case courtesy of Dr Oyedepo Victor Olufemi,


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