Some common sense things...
with ankles...
1. Crunching noises are bad
2. If it no longer looks right-there is generally something wrong
3. Immediate swelling usually indicates a significant sprain secondary to the tearing of vascular structures. If it swells-radiate it.
4. With significant ankle injuries, always press on the top of the fibula (just below the knee on the outside)-enough torque can fracture the proximal tibia
5. If there is a cut on the suspected sprain...radiate it-it may be an open fracture that has receeded back into the skin.
6. Immobilize as close to 90 degrees as possible, make certain that the toes are still pink and the nails still blanch.
Ankle sprains suck...no getting around it.
Eagle
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Primum non Nocere
"I have hung out in dangerous places a lot over the years, from combat zones to biker bars, and it is the weak, the unaware, or those looking for it, that usually find trouble.
Ain't no one getting out of this world alive. All you can do is try to have some choice in the way you go. Prepare yourself (and your affairs), and when your number is up, die on your feet fighting rather than on your knees. And make the SOBs pay dearly."
The Reaper-3 Sep 04
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