A sprained ankle can occur on the lateral side of the ankle (most common), the medial side of the ankle (least common) or can occur as a syndesmotic sprain when the ligaments between the distal tibia and fibula are injured, also known as a high ankle sprain.
Signs and symptoms of a high ankle sprain. 1 • Point tenderness over anterolateral tibiofibular joint (above lateral malleolus) 2 • Pain with weight-bearing. 3 • Pain with passive dorsiflexion. 4 • Pain with passive external rotation. 5 • Mild to moderate swelling in lower leg above ankle. More items
Physical Examination Your doctor will diagnose your ankle sprain by performing a careful examination of your foot and ankle. This physical exam may be painful. Palpate. Your doctor will gently press around the ankle to determine which ligaments are injured.