There is medial dislocation of the talus, with several small comminuted fragments anteriorly.
Comminuted fractures of the navicular, cuboid, and lateral cuneiform are noted. There is a moderately displaced fracture of the distal fibula, with posteroproximal migration of the fragment from the posterior lateral malleolar fracture site. There is a minimally displaced comminuted intraarticular fracture of the distal anterior tibia. The calcaneus and metatarsals are intact. There is soft tissue swelling throughout the ankle.