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Ankle sprain — ABFM Board MCQ

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EasyMusculoskeletal/Sports medicineAnkle sprainABFM Board

A 28-year-old man inverted his ankle while playing basketball. He can walk four steps in clinic, has swelling over the lateral ligaments, and has no tenderness at the posterior edge of either malleolus or the base of the fifth metatarsal. Which of the following would you advise this patient?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: CFunctional treatment with rest, ice, compression, and early mobilization

Without Ottawa ankle rule indications for radiography, an uncomplicated lateral ankle sprain is treated functionally.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html