Presentation: 16 y/o male presented with acute left sided ankle pain and swelling after rolling his ankle at Oz-tag the night prior. He was unable to continue playing. He went straight home and iced his ankle while in an elevated position. He explains he has rolled his ankle in the past, but not for 3-4 years. At the moment he does not feel confident enough to weight bare unassisted. Examination: Observation; obvious signs of swelling and early stage discolouration around the lateral ankle and into the dorsum of the foot. Postural analysis; towering to the right to avoid pressure through the left ankle. Gait analysis; unable to ambulate unassisted Palpation; hypersensitive along the lateral ligaments and peroneal tendons. Palpation; sensitive along the lateral edge of the 5th metatarsal base. Range of motion; Plantar Flexion = 10 – 20 deg. Dorsiflexion = 0 – 10 deg. Inversion = 0 – 5 deg. Eversion = 0 – 10 deg. One leg standing proprioception test; Left = 4 seconds. Right = 11 seconds. This was tested at the start of week 2. Suggest an X-ray of the foot to exclude an avulsion fracture of the 5th metatarsal base Imaging Report; No fractures. Joint … Continue reading Left Ankle Inversion Sprain