A 34-year-old woman is brought to the emergency department following an accident at a local tourist attraction. She was careering downhill in a ‘luge’ (a type of small 4-wheeled go-kart with handle bars for steering, foot brakes and, thankfully, no engine). To avert a collision with another ‘luger’ she tried to come to a sudden stop. Unfortunately, instead of using the foot brakes she reflexively put her right foot out of the ‘luge’ onto the fast-moving ground — she heard a loud ‘crack’ and experienced immediate pain in her right ankle as she crashed.

An ambulance was called and the paramedics splinted her right lower limb and gave her IV morphine for pain. On arrival, she is GCS 15 (Glasgow Coma Scale ) and her vital signs are within normal limits. What could be the possible description for this injury? *This image based case is from Docplexus editorial team for educative purpose only.…