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Review Question - QID 4681

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QID 4681 (Type "4681" in App Search)
A 43-year-old male sustained a left ankle injury 3 years ago. Radiographs at the time were negative and his pain improved over the next two months. However, for the last six months, he has developed persistent ankle pain with intermittent swelling. He has been treating his symptoms with physical therapy and anti-inflammatory medications with little effect. Physical examination elicits pain with ankle dorsiflexion and plantarflexion, although subtalar motion is normal. Figures A and B are radiographs of the left ankle. Figure C shows the corresponding MRI. What would be the next most appropriate step for treatment?
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