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Download the article PDF: Clinical Image Challenges July August 2026 1
A 28-year-old female presents to urgent care complaining of right ankle pain after awkwardly stepping off a high curb, subsequently rolling her ankle while running outside earlier today. She is unable to bear weight on her ankle. She has no past medical history, takes no medications regularly, and has not tried any treatments since the injury. Physical exam reveals she is afebrile with normal vital signs, and she has marked tender edema to the lateral malleolus. Pain is elicited with all planes of ankle range of motion. Pulses are normal, and sensation is intact.
View the x-ray images taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the following page