S93.42

Clinical Causes: Sudden inward twisting of the ankle, often during sports or recreational activities Falling onto the outside of the foot, forcing the ankle inward Direct trauma or blow to the inside of the ankle Missteps or irregular terrain that cause the ankle to twist unexpectedly Overextension during vigorous activities or during high-impact sports

Key Symptoms: Pain along the inside of the ankle, especially over the deltoid ligament Swelling and tenderness around the inner ankle Bruising on the inner side of the ankle or foot Difficulty bearing weight or walking normally Instability or a feeling of looseness in the ankle Reduced range of motion due to pain and swelling

Diagnosis Path: Diagnosis typically involves a physical examination where a healthcare provider assesses the ankle for tenderness, swelling, and stability. They may perform specific maneuvers to evaluate ligament integrity. Imaging tests such as X-rays can be used to rule out fractures, while MRI scans can provide detailed images of soft tissue injuries, confirming the extent of ligament damage. Proper diagnosis is essential to determine the most appropriate treatment plan.

Treatment Protocols: Resting the affected ankle to prevent further injury Applying ice packs to the inner ankle for 15-20 minutes every few hours to reduce swelling Elevating the foot above heart level as much as possible Using compression wraps or elastic bandages to provide support NSAIDs (nonsteroidal anti-inflammatory drugs) to alleviate pain and inflammation Immobilization with a brace or splint in more severe cases Gradual weight-bearing as tolerated, often under guidance Physical therapy exercises to restore strength, flexibility, and stability In rare cases, surgical intervention may be necessary if ligament tears are extensive or do not heal properly