Aetiology
Lacerations of the ankle or foot can occur as a result of a sharp object or an impact force. Common causes include stepping on a sharp object, a fall onto a jagged edge, or an animal or insect bite.
Diagnosis
A diagnosis of laceration without a foreign body of the ankle or foot is usually made based on the patient’s history and physical examination. The laceration will be evaluated for size, depth, and location, and any associated bruising or swelling. The practitioner may also order imaging studies such as X-rays or an MRI to evaluate for any fractures or ligament damage.
Differential diagnosis
Other possible causes of ankle or foot pain and swelling include sprains, fractures, tendonitis, or ganglion cysts.
Treatment
Treatment for a laceration without a foreign body of the ankle or foot depends on the size, depth, and location of the laceration. If the laceration is shallow, it may be treated with wound care and antibiotics. If the laceration is more substantial, it may require sutures. In some cases, wound debridement may be necessary.
Prognosis
With appropriate treatment, most lacerations of the ankle or foot will heal without complication. The prognosis is generally good, although there is a risk of infection, scarring, or the development of chronic pain.