Passive Movement Of Toes in Surgery — 35yo Man | Trauma Surgery | SMLE Q#5633

SMLE Question #5633

Surgery Trauma Surgery

Objective: OBJ-TRM-AIRWAY-01

Last updated: February 2026
A 35-year-old man presents 2 hours after his right foot was crushed under a heavy metal beam at work. He reports progressively worsening, severe pain and marked pain with passive movement of the toes despite analgesia. The foot is swollen and tense. Dorsalis pedis and posterior tibial pulses are palpable, and sensation is difficult to assess due to pain. What is the most appropriate next step in management?

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