Patients will normally be able to tell you the position of their foot when injured but the imaging pattern can provide the mechanism of injury. This is a Lauge-Hansen supination adduction stage 2 injury at the ankle consisting of:

• complete ATFL tear
• near complete CFL tear
• contusion/tear of deep deltoid, sprain of superficial deltoid and spring ligaments
• medial talus and medial malleolus bone contusion

An inversion injury also occured at the talonavicular joint accounting for the impaction subchondral fractures in the medial navicular bone and talar head.