Ortho Hors D'oeuvres (Prompt):

Patient is a 32 year-old soccer player presenting after falling during a game. The patient reports a twist mechanism of the ankle with subsequent severe ankle pain and inability to walk.

X-rays show:

Questions:

1) What is the injury identified on radiographs?

2) What are frequently associated injuries with this fracture pattern and what are the next steps in diagnostics?

3) What is the appropriate emergency department management?

#Orthopedicslowerextremity