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.

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Corresponding author
Moustapha Etape, Department of Orthopedic Surgery and Traumatology I, Mohammed V Military Teaching Hospital, Rabat, Morocco (moustaphaetape@gmail.com)