Purulent Ankle Joint on POCUS Young patient 2 weeks status post ORIF of ankle fracture presents with ankle pain and swelling. US images of the ankle shown, what do they show? You see pus flowing in and out of the ankle joint space. Patient taken to OR for washout found to have septic arthritis and osteomyelitis. Blue arrow shows shadowing from hardware. University of Michigan Ultrasound @MaizeandLube #Purulent #Ankle #Joint #POCUS #clinical #ultrasound #msk #infected #pus #abscess #tibiotalar