Author: Paul Onion / Editor: Tajek B Hassan / Reviewer: Jolene Rosario / Code: SLO2, SLO4, TC2, TP7Published: 06/03/2021

A 35-year-old male presents to the Emergency Department complaining of pain to the medial aspect of his right ankle following a twisting injury to the lower leg after getting his foot trapped between 2 rocks while climbing.

On examination he has a grossly swollen and tender medial malleolus with pain elicited on movements in all directions. He is mildly tender over the proximal fibula and is neuro-vascularly intact distally.

His x-rays are shown below.