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9.13 Ankle Sprain


Presentation

The patient inverted the foot and either came in immediately or a day later with pain, swelling, and inability to walk. There is tenderness to palpation of the anterior talofibular ligament (anterior to the lateral malleolus) and on stretching of the ATFL with supination or pulling the talus anteriorly (drawer sign).

What to do:

What not to do:

Discussion

Although patients continue to visit EDs with ankle sprains, our role remains to rule out other injuries, and teach them how to care for themselves. Patients ask if a bone is broken, but the initial treatment is usually the same regardless of the x ray results. Most ankle sprains could be managed over the telephone, and seen in the office the next day.

References:


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from Buttaravoli & Stair: COMMON SIMPLE EMERGENCIES
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Craig Feied, MD
Mark Smith, MD
Jon Handler, MD
Michael Gillam, MD