The Ankle That Took Forever - Page #1
 

Author: Bernadette Pendergraph, MD
Co Author #1: Joseph Chin, MD
Senior Editor: Kevin Gray, MD
Editor: Jesse Miller, MD

Patient Presentation:
A baseball player with persistent lateral ankle pain after an eversion injury.

History:
A 22-year-old male Division II baseball player fractured his distal right fibula after an eversion injury when backpedaling in the field. Although he was supposed to be treated with a long leg walking boot for 4 weeks, he was seen in the training room 4 months later for persistent lateral ankle pain during practice and admitted to inconsistent use of the boot immediately post injury. He was using aspirin 1000mg three times a day which controlled his pain with activity. He had mild pain at rest which worsened with weight bearing activities. He denied any numbness, tingling, or weakness. He denied any knee or lower leg pain.

Physical Exam:
Right ankle exam was significant for lateral soft tissue swelling. Range of motion of the ankle showed dorsiflexion 10 degrees, plantar flexion 40 degrees, inversion 10 degrees, and eversion 10 degrees. He had tenderness of the distal third of the fibula, but he was nontender at the tibia, talus, base of fifth metatarsal, Achilles, posterior tibial tendon, peroneal tendons, lateral collateral ligament complex, and deltoid ligament. Strength of dorsiflexion, plantar flexion, inversion, and eversion was 5/5. His anterior drawer, external rotation test, and tibia-fibular compression tests were negative.

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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
Leawood, KS 66211
Phone: 913.327.1415


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