Part 2.
Laura was assessed as having a stress fracture of the fibula and was instructed to elevate the leg, apply ice and, if the pain persisted, utilize crutches to ambulate. She and the coach were told that she was not to practice for a minimum of 48 hours, at which time the team trainer and a local orthopedic surgeon would reevaluate her.

Two days after the initial assessment Laura was back in the training room complaining of
steadily increasing pain.

Physical examination by the trainer revealed the following:

• Proximal swelling and tenderness of the lateral and anterior calf.
• Loss of ankle eversion and toe extension, and a loss of sensation on the dorsomedial foot.

Laura was immediately taken to the local outpatient clinic of the team’s orthopedic surgeon.

Physical examination by the orthopedic surgeon revealed the following:

• Medical history was unremarkable.
• Body habitus is more short, stocky and muscular than would have been anticipated for a soccer player.
• Proximal welling, tenderness and motor and sensory deficits (as noted by the trainer) were confirmed.
• The physician confirms Laura’s pain is deep and aching, and is worsened by passive stretching.
• Upon deep palpation, a firm wooden feeling is noted by the physician on the anterior and lateral aspects of the left leg.
• No abnormalities of the ankles, knees or hips were noted on palpation or range of motion tests.
• Repetitive attempted eversion and extension of the toes resulted in a loss of detectable pulse in both the dorsal pedis and fibular artery in the left extremity.

Utilizing sound anatomical logic, what is your diagnosis for this patient?