Best Practice Case Studies-Study Questions (NOT YOUR TYPICAL ANKLE ROLL—AN UNCOMMON PROBLEM WITH A COMMON PRESENTATION)

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The document outlines case studies focused on ankle injuries, emphasizing diagnostic and management strategies.

<strong>Case Study 1:</strong> A 28-year-old male presents with left ankle pain following a football game injury. During the game, despite being a touch football match, he was tackled, causing his ankle to roll outward, with an uncle landing on his leg. This resulted in swelling, bruising, and a significant limp. Examination revealed tenderness over the anterior talofibular ligament (ATFL) and anterior ankle joint line, along with pain on combined dorsiflexion and external rotation. Crucially, the fibular head/neck should be palpated for tenderness; tenderness here necessitates ordering tib/fib x-rays to rule out a Maisonneuve fracture—a potentially severe injury due to syndesmotic disruption.

<strong>Case Study 2:</strong> A 20-year-old female basketball player experiences right ankle pain after landing on another player's foot, causing severe pain and a popping sensation. She cannot bear weight and uses crutches due to lateral ankle and foot edema and ecchymosis. Tenderness is noted over the lateral malleolus's posterior aspect, without tenderness on the medial malleolus or other areas of the foot. The case follows the Ottawa Ankle Rules, which confirm the need for ankle x-rays due to pain in the malleolar region, weight-bearing issues, and posterior malleolar tenderness. The recommended management is RICE (rest, ice, compression, elevation) combined with the application of a cast boot due to suspected fracture, rather than a stirrup splint.

The document emphasizes adhering to established clinical guidelines, such as the Ottawa Ankle and Foot Rules, for appropriate assessment and management of ankle injuries.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 03

Topic Ankle

Keywords

ankle injuries

diagnostic strategies

management strategies

anterior talofibular ligament

Maisonneuve fracture

Ottawa Ankle Rules

RICE management

case studies

football injury

basketball injury

3rd Edition

3rd Edition, CASE 03

Ankle