Ankle fracture dislocation as a result of skateboarding! The ankle was reduced and fixated with a titanium plate and 8 screws. Physical inspection should include neurovascular assessment and an examination of the soft tissue for signs of open wounds, blanching, swelling, and tenting. Up to one-third of ankle fracture-dislocations present as open injuries. Prereduction radiographs may help identify obvious concomitant injuries and rule out trauma that can mimic ankle fracture-dislocation deformities including distal tibia fractures and subtalar dislocations. However, gross reduction attempts should not be delayed to obtain these images if soft tissue is at risk. Credit: fluttersnip3 at reddit.com
Vitaly - Yup, I'm a orthopedic surgeon. Why cute? Usually there is oedema, swelling, so You can't see such clear image often. Cheers!