please interpret h/o trauma 2 days back pain swelling of lt. ankle joint 17yrs f

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Ankle ap and foot oblique xrays needed Otherwise check the following for pain and tenderness Both malleoli Base of 5th metatarsal Anterior talofibular ligament Deltoid ligament Anterior inferior tibiofibular ligament If nothing, give below knee pop for three weeks and check xray after that Serious soft tissue injury heal faster with immobilisation

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Ligament. Tearing..?? Edema... Swelling.. ADVISABLE... 1. Avoid. pressure. on. Heel 2. Apply. Pad. over. Heel 3. Antibiotics.. 4. Serratiopeptidase + Aceclofenac...+ P C M 5. ZEVIT.. 6. Splintage..

what is the role of antibiotics sir?
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Type of trauma¿ where is swelling and tenderness.How is ankle movements.Then comes role of X rays. No bony injury seen.Tt can not be advised hypothetically.

Soft tissue injury
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No bony injury detected. ?Ligament tear.

Soft tissue injury

Well lateral view looks good and foot is also fine. Ankle ap with internal rotation gives better idea.

Suspected fracture base of 5th metatarsal

Sprain and strain. If very painful rest to the part ,analgesics. Or immobilize

Xray Lt Ankle Jt : NBI. Suspected Ankle Sprain--Tt by immobilization & NSAIDs.

Scan is normal sesamoid bones are seen

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