Passive Toe Movement in Surgery — 28yo Man | Orthopedics | SMLE Q#1384
SMLE Question #1384
Surgery
Orthopedics
Last updated: February 2026
A 28-year-old man is brought to the emergency department after a high-speed road traffic accident. His right leg is grossly deformed and swollen at the mid-shaft. He has severe pain and numbness in the foot. The leg feels tense and is very tender with passive toe movement. Dorsalis pedis and posterior tibial pulses are not palpable, and toe capillary refill is delayed. What is the most appropriate immediate management?
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