Ortho Dx: Popping sensation in the ankle

A patient, aged 20 years, presented with ankle pain four months after an open reduction and internal fixation of a left bimalleolar ankle fracture with distal tibiofibular syndesmotic screw fixation.

The patient reported she was walking down stairs earlier in the day and tripped on ice. She felt a “popping sensation” in the left ankle. The patient was ...