Puncture wound, ankle

About Puncture wound, ankle

A stab wound to the ankle. These wounds can damage structures deep to the skin such as blood vessels, nerves, or tendons. The object that caused the wound can carry bacteria or foreign material deep into the wound and cause infections. Puncture wounds from animal or human bites are especially prone to infections.

Symptoms

Pain, bleeding, numbness, weakness, redness, increased warmth of the skin.

Tests & Diagnostics

A history and physical exam will be performed. An X-ray may be done to rule out a bony injury or to check for metal or glass in the wound, depending on the injury event. Fluid from the ankle joint may need to be sampled through a needle to make sure this fluid has not become infected from the injury.

Common tests: X-ray.

Conventional treatment summary

Treatment depends on the structures injured. The wound will be cleaned. Antibiotics may be started, especially if the puncture is from a human or animal bite. A tetanus shot may be needed if the last shot was more than 5 years for a dirty wound or more than 10 years for a clean wound. If the joint itself is involved in the wound or if the joint is infected, this may require IV antibiotics and surgery.

Medical specialties

Internal Medicine · Emergency Medicine · Pediatrics · Family Practice

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Puncture wound, ankle.