50 year old female complains of left lateral ankle pain weight bearing,towards the end of day lateral ankle is swollen.
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Has to apply ice daily for relief and wear ankle support to walk in.
History
March 2012 a minimally displaced lateral malleolar tip fracture.
May 2012 left ankle still painful unable to comfortably weight bear and still using moonboot and crutches.
August 2012 ct of left ankle delayed union of a webber a fracture.
October 2012 non union of a webber a fracture of the distal fibular with mildly thickened anterior talofibular ligament consistant a low grade ligament injury
Jan 2013 open reduction,internal fixation of left fibular bone and grafting to left fibular bone.
Put into moon boot.
April and2013 started to wear runners as swelling had gone down ,had physio and wearing ankle support .
May 2013 ultra sound scan shows low grade strain to left anterior talofibular ligament with synovitis at the lateral ankle joint .
I was treating this lady's daughter when she mentioned the left ankle pain to me so have not assessed properly. Obtained history from hospital before seeing her next week.
Based on the above information it appears the ligament has not healed well since first injury in 2012 , wanting to know if any one has seen the same problem and if lateral wedging may help with her pain?
She does ankle exercises everyday.
Would appreciate any comments
Thanks
Jaynes
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