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case_images: (a and b): No acute fracture or dislocation was seen on AP and lateral view of left foot and ankle x-rays.
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case_images: A three-view x-ray of the foot and ankle revealed no obvious acute abnormalities or degenerative changes (Fig. 1).
case_images: Left ankle histopathology specimen from debridement showing acute and chronic inflammatory changes.
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case_images: Surgical specimens of the left ankle revealed gross findings of 2.5 cm aggregate of tan rubbery tissue, diagnosed as prominent granulation tissue associated with acute and chronic inflammation, and variable fibrinoid material and necrosis on histopathologic analysis (Fig. 2).
case_images: Biopsy specimen from the left tibia showing segments of bone with reactive features and chronic osteomyelitis including chronic inflammation with plasma cells.
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case_images: The sample from the left tibia revealed 0.5 cm aggregate of tan white spongy material, probable bone, diagnosed as bone showing reactive changes and features of chronic OM (Fig. 3).