AMSSM Home

Ohhhh! I Thought It Was Just An Ankle Sprain. - Page #1
 

Author: William McCafferty, DO
Co Author #1: Jarem Lloyd, Md
Co Author #2: Gobindveer Singh Sahi, MD
Co Author #3: Maheep P. Vikram, MD
Editor: Shawn Phillips, MD, MSPT
Senior Editor: Christian Fulmer, DO

Patient Presentation:
A 19-year-old female junior college volleyball player presented with right ankle pain over the preceding 48 hours. One day prior to the onset of her current symptoms, she had been playing volleyball and developed an acute exacerbation of right ankle pain, although she denied any specific injury to the right ankle or foot during her game. The patient reported that she has had intermittent right ankle pain for over five years. Her only known injury was a sprain to the affected ankle approximately 8 years ago. At presentation her symptoms included pain, swelling, and warmth, but no erythema. Her pain was worse at nighttime and at rest. She reported feeling generally unwell over the previous 48 hours but denied any specific fever, chills, rigors, nausea, vomiting, weight loss, or infectious process.

History:
Ipsilateral Ankle Sprain 8 years prior

Physical Exam:
On exam vital signs were within normal limits. The right ankle had generalized swelling and diffuse tenderness. It was warm but there was no erythema or evidence of cellulitis or abscess. There was no significant focal bony tenderness. Her range of motion was limited in all planes secondary to pain and swelling. Pedal pulses and distal neurological exam were normal. Remainder of the physical exam was unremarkable.

Click here to continue. Challenge yourself by writing down a broad differential diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

FOUNDATION

Donate
Grants

ABOUT US

Committees
Contact AMSSM
Directors

MEMBERSHIP

Join
Renew
Member-Only Links

COMMUNICATIONS

Journals
Press Releases
Sideline Report

EDUCATION

Annual Meeting
Conferences
Testing Center
Fellowships
Abstract Submissions
Sports Ultrasound Didactics
Mailing List Rentals

RESEARCH

Grants
Resources

ADVOCACY

Practice Tools
Legislative Handbook
Legislation by State

PATIENTS

Sportsmedtoday.com

INDUSTRY

Exhibiting
Sponsorship
Advertising
Mailing List Rentals

SEARCH:

 

FIND A SPORTS DOC

Please enter a search term relevant to the search type. For US States - use only letter abbreviations.
 
Choose Search Type
Enter Search Term

Zip Code:
Choose Search Radius:
© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415
Fax: 913.327.1491

Website created by the computer geek