Christina's ankle pain is most likely due to a lateral ankle sprain, a peroneal tendon rupture, or a fractured talus.
After suffering an inversion injury, the patient, a 19-year-old girl, appears with acute right ankle pain. Even though she was able to walk with assistance in the office right after the injury, she is currently unable to do so. The lateral malleolus of the right foot is sensitive, but there is no swelling, no soreness to palpation in the medial malleolar region, and no tenderness over the dorsal or lateral aspect of the foot. The most likely diagnosis in this situation is a lateral ankle sprain. Pain, heat, and some edema are present in the patient. No deviation exists.
The peroneal tendon could tear. The presence or absence of discomfort posterior to the lateral malleolus was not the examiner's main concern.
Although less likely, talar dome fracture is still possible. Blood supply compromise is the problem over time. Christina's pulses are still strong right now.
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