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Ankle Injury Case Study – Adolescent Athlete

Ankle Injury Case Study – Adolescent Athlete

Patient Information:
• Age: 14
• Gender: Male
• Chief Complaint: Swelling and pain in the right ankle following a sports-related injury
• Visit Type: Emergency outpatient evaluation
History of Present Illness:
A 14-year-old male athlete presents with acute pain in the outer region of his right ankle after landing awkwardly during a soccer game. Swelling began within an hour. He cannot bear weight on the foot.
Key Features:
• No prior ankle injuries
• No numbness or tingling
• No fever or chills
• Pain worsens with motion
• No visible deformity
Medical History:
• No chronic illnesses
• No history of fractures
• Vaccines up to date
Family and Social History:
• Active in school sports
• No family history of joint issues
• No smoking or alcohol use
Differential Diagnoses:
• Lateral ankle sprain—typical of sports injuries
• Salter-Harris fracture – growth plate injury in youth
• Avulsion fracture – ligament pulls bone
• Peroneal tendon injury – persistent swelling
• Ankle dislocation—less likely without trauma
Physical Exam Findings:

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