Anatomy clinical correlates Quiz: Ace Your Exams
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A 42-year-old man is brought to the emergency department after he slipped and fell from a 14-foot ladder onto his right lower extremity. Radiographs reveal a right-sided complete transverse fracture of the distal tibia and fibula diaphysis. Past medical history is significant for type 2 diabetes mellitus. The patient has a 25-pack-year smoking history. The patient is subsequently managed with external fixation and discharged home. The patient returns to the clinic seven months later for evaluation of persistent pain and a clicking sensation at the level of the fracture. Vitals are within normal limits. Physical examination demonstrates a visible deformity of the right lower extremity. Sensation is intact bilaterally. A current x-ray of the right lower extremity is shown below. Which of the following is the most likely cause of this patient’s presentation?

Reproduced by Radiopedia

Reproduced by Radiopedia
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