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    Twisted Ankle with Edema and Tenderness - Patient Case of the Week

    Try this free orthopedic injury patient case Q&A courtesy of Med-Challenger.


    A 19-year-old college student presents with a history of twisting her left ankle during soccer practice. She is unable to bear weight because of the pain, which is partially relieved with elevation, ice, and ibuprofen.

    On examination, you note significant edema and tenderness of the left ankle. There is localized tenderness over the posteromedial aspect of the talus and increasing pain with passive plantar flexion.

    Radiography is obtained and is shown in Figure 1.

    Figure 1.

    Twisted Ankle with Edema and Tenderness - Patient Case of the Week - figure1

    What is the best management for this injury?

    Answer Options:
    • Cast immobilization for 6 weeks
    • Air-stirrup ankle brace
    • Internal fixation
    • Commercial walking boot or brace
    See Full Answer

    The correct answer is:

    Cast immobilization for 6 weeks


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