Marina J. Rodriguez, MD

A 44-year-old male Army service member presented to the emergency department with acute onset of right ankle pain and weakness during a game of kickball. He described inadvertently catching his foot on the ground while attempting to strike the ball, which resulted in a fixed plantarflexion and audible pop. Afterward, he noted immediate onset of severe pain, swelling, and inability to lift his ankle or bear weight without assistance. He denied any antecedent ankle pain or prior injuries, and his medical history was only significant for well-controlled hypertension. The patient had no history of prodromal symptoms.