K this item comes off of The boss mob in MM. Out of respect for enrapture, im not going to go into detail on this quest to make him spawn, but hes about twice the size of a giant, so yes, and anklet would fit on a normal guys waist.
Yeah, and the Ring of the Ancients is a wrist item, and there is a Sandal that is a shield, and a reminder string (usually on a finger) that is a waist item, or just maybe they just could find the "ankle" slot.