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Doing The Twist And Shout - Page #1
 

Author: Eric Vogt, MD
Co Author #1: Kathleen Roberts, MD
Senior Editor: Justin Mark Young, MD, FAMSSM
Editor: Blake Corcoran, MD, CAQSM

Patient Presentation:
A 14-year-old female who ran track and cross country and was a cheerleader presented to clinic with left ankle pain.

History:
The patient stated that she was getting on the bus to go to school when she slipped on some ice and sustained an inversion ankle injury. She endorsed immediate pain and swelling over the lateral malleolus. She had not been able to bear weight on her left lower extremity since the injury, and was using crutches to ambulate. She did not have a history of injuries to either ankle.

Physical Exam:
Her physical exam was focused on her left ankle. Soft tissue swelling was present over the distal aspect of the fibula. There was tenderness to palpation over the distal fibula and tibiotalar joint space. Range of motion was limited in plantarflexion and dorsiflexion due to pain. Sensation to light touch was intact in the superficial peroneal, sural, and saphenous nerve distributions. Her dorsalis pedis pulse was two plus. Strength was difficult to assess due to pain.

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, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.
 

UPCOMING EVENTS


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11/19-11/22/2026
2026 AMSSM/OHSU Introductory &/or Diagnostic/Interventional Sports US Course

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12/04-12/06/2026
2026 Advanced Team Physician Course

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4/16-4/21/2027
2027 AMSSM Annual Meeting

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© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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