A rare case of bilateral ankle fracture

A 62-year-old man with a past medical history of acromegaly who had been on corticosteroids since 2003, was brought to the emergency room for bilateral ankle pain associated with functional impotence following a fall down the stairs due to a stumble resulting in closed trauma of both ankles. On admission, a physical examination revealed grossly swollen and painful mobilization of both ankles. The distal neurovascular examination was normal on both feet. Plain X-rays of the two ankles revealed a bilateral ankle fracture. A computed tomography scan of both ankles revealed: medial and lateral malleolus fractures for the left ankle and right ankle and medial and posterior malleolus fractures for the right ankle.