Snapshot A 23-year-old man presents to the emergency department for ankle pain. He says that prior to symptom development, he was at soccer practice running exercise drills. He then rolled his ankle and subsequently developed severe pain. He says he was able to walk off the field with assistance, but walking exacerbated his pain. On physical exam, the ankle appears swollen. There is anterior displacement of the talus from the tibia. He has an antalgic gait and requires rest after walking 15 steps. He is advised to rest, ice, compress, and elevate the ankle for the next 2-3 days. Introduction Clinical definition login to view 1 more bullet Epidemiology Incidence login to view 1 more bullet ETIOLOGY Pathoanatomy login to view 15 more bullets Presentation Symptoms login to view 3 more bullets Physical exam login to view 6 more bullets Imaging Radiography login to view 6 more bullets Differential Fracture login to view 3 more bullets DIAGNOSIS Making the diagnosis login to view 1 more bullet Treatment Conservative login to view 6 more bullets Operative login to view 3 more bullets Complications Prolonged pain Ankle stiffness and instability Recurrent ankle sprain Prognosis Usually excellent