A Bone or a Fracture: Subtibiale
A 60- year-old female patient admitted the emergency department (ED) because of falling from high. She was suffering right ankle pain. The patient’s physical examination findings were tenderness on right ankle. Right ankle and tibia-fibula x-ray graph were performed. X-ray graph revealed that a small bone which is one of the sesamoid bone called os subtibiale, were localized behind the fibulae. If it is not evaluated carefully, this sesamoid bone can be misdiagnosed as fracture easily. Recognition of sesamoid bones and their location are important to protect patients from unnecessary and improper interventions.
