Pop Goes The Ankle: A Non-contact Injury In An Adolescent Soccer Player. - Page #1

Author: Jason Zaremski, MD
Co Author #1: Brian J Krabak, MD MBA Clinical Associate Professor Rehabilitation, Orthopaedics and Sports Medicine University of Washington and Seattle Children’s Sports Medicine National Team Physician, USA Swimming Medical Director, RacingThePlanet 4 Desert Ultra-marathons Seattle, Washington

Patient Presentation:
A 16 year-old male soccer player suffered a non-contact injury while attempting to kick a soccer ball.

The player had his left leg planted and externally rotated when he felt a pop from his left ankle. Immediately he felt pain in the left ankle and had difficulty weight-bearing. He was evaluated at the community emergency room and diagnosed with a distal fibula fracture on x-ray. He was then placed in a posterior splint and discharged. The next day, he followed-up at our sports medicine clinic due to worsening symptoms.

Physical Exam:
Physical examination revealed distal lower extremity swelling. The patient was unable to bear weight on the left leg, but he had an intact neurovascular examination. There was tenderness to palpation over the distal tibia, fibula and deltoid ligament.

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NOTE: For more information, please contact the AMSSM, 4000 W. 114th Street, Suite 100, Leawood, KS 66211 (913) 327-1415.

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4000 W. 114th Street, Suite 100
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Phone: 913.327.1415

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