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A 65 year old female presents to the Emergency Department after an ankle injury. She has been having significant pain throughout the ankle, worst over the lateral malleolus, and having difficulty weight bearing.
Author: Alex Tomesch, MD, CAQ-SM
Peer-Reviewer: Matt Negaard, MD, CAQ-SM
Final Editor: Will Denq, MD, CAQ-SM
A 65 year old female presents to the Emergency Department after an ankle injury. She has been having significant pain throughout the ankle, worst over the lateral malleolus, and having difficulty weight bearing.

Image 1. Author’s image
References
[1] Vuurberg G, Hoorntje A, Wink LM, et al. Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British Journal of Sports Medicine 2018;52:956.
[2] Sman AD, Hiller CE, Refshauge KM. Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. British Journal of Sports Medicine 2013;47:620-628.
[3] Lamb SE, Marsh JL, Hutton JL, Nakash R, Cooke MW; Collaborative Ankle Support Trial (CAST Group). Mechanical supports for acute, severe ankle sprain: a pragmatic, multicentre, randomised controlled trial. Lancet. 2009;373(9663):575-581. doi:10.1016/S0140-6736(09)
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