Trouble When You Walked In: A Suspicious Case Of Anterolateral Ankle Pain.

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Trouble When You Walked In: A Suspicious Case Of Anterolateral Ankle Pain. - Page #1

Author: William Nace, DO Co Author #1: Bryant Walrod MD Co Author #2: Kendra McCamey MD Senior Editor: Heather Rainey, MD Editor: Ian McKeag, MD Patient Presentation: A 22-year-old who presented with left ankle pain. History: Patient is a 22-year-old division 1 Soccer player who presented with insidious onset of left ankle pain after returning from summer break. He was active throughout the summer and had no acute injuries. Pain was worse with prolonged walking and standing. He was trialed on Naproxen and a walking boot but had continued swelling. Physical Exam: Patient had full range of motion and 5/5 strength in the ankle. There was lateral soft tissue swelling in the ankle. There was no effusion or ecchymosis. He was tender to palpation over the anterior inferior tibiofibular ligament, anterior talofibular ligament, talar dome and anterolateral joint line. Negative anterior drawer. No bony tenderness at lateral malleolus or 5th metatarsal. Patient was neurovascularly intact. Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.		Back
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