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A 12-year-old sustains a twisting injury to his ankle while playing soccer. His skin is intact and he has no evidence of neurovascular compromise. An injury radiograph is shown in Figure A. A closed reduction is attempted to improve alignment. What is the next best step after reduction to optimize this patient’s outcome?
Splinting and admit for observation for compartment syndrome
Short leg cast and discharge with outpatient follow up
Long leg cast and discharge with outpatient follow up
Percutaneous pinning with casting immobilization
CT scan of the ankle
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A juvenile Tillaux ankle fracture is caused by an avulsion injury involving which of the following structures?
Anterior-inferior tibiofibular ligament
Posterior-inferior tibiofibular ligament
Anterior talofibular ligament
Posterior talofibular ligament