Author: James Griffiths / Editor: Steve Corry-Bass / Reviewer: Ciaran Mackle / Codes: MuP2, SLO4, TC2, TP7 / Published: 13/11/2022
A 26-year old male patient, usually fit and well, sustained an inversion injury to their right ankle. They describe “going over on it” and hearing a crack.
The patient was unable to continue playing and couldn’t weight bear on assessment.
Swelling and bruising was noted over the anterior talo-fibular ligament (ATFL).
X-rays were undertaken and reported as no acute bony injury. The patient was diagnosed with a ligamentous injury and discharged with crutches, advice regarding rest, ice, compression and analgesia (RICE) and follow-up with the physiotherapy department.
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Question 1 of 3
1. Question
The medial or deltoid ligament is more commonly injured than the anterior talo-fibular ligament (ATFL).
True or False?
CorrectIncorrect -
Question 2 of 3
2. Question
Up to 20% of patients will have recurrent instability or persistent pain after an acute ankle injury.
True or False?
CorrectIncorrect -
Question 3 of 3
3. Question
The Ottawa ankle rules include bony tenderness over the anterior surface of the distal 6cm of the lateral or medial malleolus.
True or False?
CorrectIncorrect
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10 responses
Good explanation
It’s an interesting cases, as it’s very common on daily basis
very useful
Very concise
gives revision for Ottawa ankle role for X- ray consideration in cases of ankle injury
Relevant
Good case of ankle sprain, and deltoid is not the tendon that bear the brunt
Good.
Common problem that we deal with in ED.
It further enhances our understanding of the management ankle injuries
Good revision