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Three cases of prolapsed disc presenting as 'twisted ankles'
1Department of Orthopaedics, Glasgow Royal Infirmary, UK.
Journal of the Royal College of Surgeons of Edinburgh
|November 14, 1997
Summary
Ankle pain and foot weakness can signal a prolapsed intervertebral disc, not just an orthopaedic issue. Prompt diagnosis is crucial to avoid delayed treatment and potential complications.
Area of Science:
- Neurology
- Orthopaedics
- Radiology
Background:
- Patients presenting with ankle problems are often referred to orthopaedic specialists.
- Differential diagnosis for lower limb complaints can be complex, involving multiple medical specialties.
Observation:
- Three cases are presented where patients initially referred for ankle issues were diagnosed with prolapsed intervertebral discs.
- Symptoms included ankle pain and impaired abductor control, initially misattributed to local orthopaedic conditions.
Findings:
- Computerized tomography (CT) confirmed prolapsed intervertebral discs as the underlying cause in all observed cases.
- Initial misdiagnosis led to incorrect management protocols, potentially causing morbidity or diagnostic delays.
Implications:
- Highlights the importance of considering nerve root compression in the differential diagnosis of ankle pain and dysfunction.
- Emphasizes the necessity of thorough patient history taking and comprehensive physical examination to ensure accurate diagnosis and timely intervention.