Case presentation A 16-year-old male high school athlete presented with a complaint of atraumatic left ankle discomfort and edema after a high school football game. One month before presentation, the patient had moderate left medial-sided ankle discomfort. The patient's symptoms increased dramatically during the competition. Physical findings There were no postural abnormalities in the neurovascularly intact left foot and ankle. Swelling and discomfort in the medial malleolus, as well as pain while performing an external rotation stress test was observed.
No restrictions were seen in the motion of the hindfoot-midfoot-ankle. There were no postural abnormalities in the neurovascularly intact right foot and ankle. Swelling negative but palpable discomfort was observed in the right foot. Laboratory investigations Vit D 25-OH: 47.2 ng/ml Calcium: 9.9 mg/dl Alkaline phosphate: 160 mol/L…
