Anatomy clinical correlates Quiz: Ace Your Exams

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A 27-year-old woman comes to the office for evaluation of right ankle pain. The patient was playing football when she was struck by an opposing player causing her ankle to evert. She immediately felt an intense, sharp pain about the ankle and heard a “snap.” The patient was unable to ambulate off the field. Past medical history is noncontributory. Vitals are within normal limits. Physical examination shows swelling around the right ankle and tenderness over the medial malleolus. Sensory examination is within normal limits. Peripheral pulses are equal bilaterally. A right ankle x-ray is shown below. Which of the following is the most likely diagnosis?  

A lateral X-ray of a right ankle and foot shows bones of lower leg, ankle, and foot. An R symbol is in the upper left corner indicating the right side.
Reproduced from Radiopedia

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