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When something is not quite right: an ankle sprain
  1. António Paulo Martins da Encarnação
  1. Correspondence to Dr António Paulo Martins da Encarnação, Organizing Commission of the Post-Graduation Courses on Medical Acupuncture of the Medical Sciences Faculty of the New University of Lisbon (FCM-UNL) and the Health Sciences School of the University of Minho, Braga (ECS-UM), Rua do Carvalhal 25, Dume, Braga 4700-051, Portugal; antoniopauloencarnacao{at}


Ankle sprains are a common musculoskeletal injury in sport. Older people are increasingly participating in sports such as running. The specificities of musculoskeletal injuries in older people pose a different diagnostic challenge from that in young people participating in the same activities. A clinical case is presented of a 64-year-old patient diagnosed with a grade 1, plantar flexion/inversion ankle sprain that was later diagnosed as a quite different and rare injury. Fractures of the fibular malleolus, talar neck and dome are possible differential diagnoses for an ankle sprain, as are talar dome chondral defects. Response to treatment may help to guide the diagnostic procedure when pain persists after appropriate treatment.

  • Sports Medicine

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