Fig. 1a.

Infection from a proceeding ulcer spreading through the tendon sheaths and during surgical exploration, was found to have purulent material extending from the long extensor of the 5th metatarsal into the common digital sheath of the Flexor Digitorum Longus. Further extension revealed all muscle of the anterior compartment were affected, and further debridement was undertaken, a 5th ray amputation was undertaken at the time of debridement.