Case # 8

A.M. is a 21 year old male who presents a painful ankle with swelling. The patient complains of moderate pain and swelling of the left ankle. The patient’s medical history is unremarkable. The patient admits recent trauma during a soccer game. The patient does not smoke cigarettes or consume alcoholic beverages. On physical examination, you note a young male who appears to be in good health. The foot is flexible. You note mild to moderate ecchymosis as well as tenderness over the lateral collaterals. There is some loss of motion and function with mild to moderate instability. You note appropriate athletic footwear with no appreciable wear pattern. Upon Gait Assessment, you note a minimal ability to bear weight and ambulate on the affected side.	Suspected Pathology / Pathologies:
	Physician Referral? Why / Why Not?
	Casting Method to be used?
	Suggested Orthotic Solutions (Type & Possible Materials):
	Suggested Shoe Selections:
	Suggested Shoe Modifications: