Answer to 'A 22-year-old professional soccer player with atraumatic ankle pain'.

The MRI revealed progressive oedema in the fracture (figure 4A,B). Consequently, it was decided to perform an acute percutaneous internal compression fixation of the fracture by means of an Acutrak screw (figure 5). Since there was a progression of oedema along the fracture line—without real fracture diastasis—the authors chose a single compression screw fixation as the definitive treatment. Postoperatively, the patient was placed in an NWB cast for 2 weeks and a partial weight bearing walker boot for four more weeks. Physiotherapy was started after cast removal and full weight bearing was allowed starting from 6 weeks postoperatively. From the start of week 8 postoperatively, he started training individually with a progressive rehabilitation protocol for four more weeks. Three months postsurgery, he returned to the pitch playing at his preinjury level; he was pain-free and showing a full range of ankle motion.