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Broken Ankle, is my cast too tight?

February 7th, 2016
I broke and dislocated my ankle exactly a week ago today. It was very badly dislocated, and also I had a bad fracture on the fibula. I got surgery and have a cast on. When I have my foot elevated, or even parallel to the ground it is normal. But when I have my foot down my toes swell up and turn a blue/purple colour. As soon as I elevate my foot the toes go back to normal. Is this due to my cast being too tight and cutting off circulation, or is this quite normal?
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replied February 2nd, 2019
Yes the finding you described is not normal. There should not be any cyanosis with this change of position. The cost should be re-examined and a Doppler ultrasound of the lower limbs can be advised to determine the patency of the Wessels The cast should be re-examined and a Doppler ultrasound of the lower limbs can be advised to determine the patency of the peripheral Vessels.


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