Ankle Pain - Clinical Patholophysiology

Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the calcaneus, limited active plantarflexion, and inability to perform a single-leg heel raise. Passive range of motion is full and pain-free. Which finding BEST explains the patient’s inability to perform a single-leg heel raise?

A) Tear of the medial ankle stabilizer leading to decreased propulsion strength

B) Inflammation of the plantar aponeurosis causing mechanical restriction

C) Disruption of the calcaneal attachment of the posterior compartment tendon

D) Strain of the posterior compartment musculature limiting force generation

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