Visual Diagnosis in Emergency Medicine| Volume 57, ISSUE 2, e57-e58, August 2019

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Plantar Ecchymosis Sign

  • Scott C. Sherman
    Reprint Address: Scott C. Sherman, md, Department of Emergency Medicine, Cook County Health, 1900 W. Polk Avenue, 10th Floor, Chicago, IL 60612
    Department of Emergency Medicine, Rush Medical College, Chicago, Illinois

    Department of Emergency Medicine, Cook County Health, Chicago, Illinois
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  • Jennifer Lee
    Department of Emergency Medicine, Cook County Health, Chicago, Illinois
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      A 31-year-old man presented to the Emergency Department with right heel pain 1 day after falling from a 12-foot ladder. He denied any other injuries or pain. A thorough physical examination revealed only tenderness over the right heel and a central ecchymosis on the mid-plantar aspect of the foot (Figure 1). There was no tenderness over the area of ecchymosis. Radiographs and computed tomographic imaging were significant for a comminuted fracture of the calcaneus that extended into the calcaneotalar joint (Figure 2). The patient was placed in a bulky splint, instructed not to bear weight, and given orthopedic follow-up.
      Figure thumbnail gr1
      Figure 1The plantar ecchymosis sign (Mondor’s sign).
      Figure thumbnail gr2
      Figure 2Mildly displaced, comminuted intra-articular fracture of the calcaneus. (A) Plain radiograph. (B) Three-dimensional reconstructed computed tomography scan.
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