A 26 year old woman presented to the emergency department after injuring her left ankle while walking on an uneven pavement in the rain she lost her footing and . This misdiagnosis of severity can lead to increased morbidity slower rehabilitation and arthritic changes later in life8 generally syndesmosis injuries also take twice as long for recovery as compared with lateral ankle sprains of a similar grade2 with so many factors that impede a successful recovery optimal management is essential. The history of an ankle sprain is usually that of an inversion type twist of the foot followed by pain and swelling an individual with an ankle sprain can . The ankle is one of the most common sites for acute musculoskeletal injuries and sprains account for 75 percent of ankle injuries1 acute ankle trauma is responsible . Management of ankle injuries 1 management of ankle injuries dr umar m aminu orthopaedics unit surgery department atbuth 2
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