Pronation-external rotation ankle fractures in 3 professional football players.

We found no reports of ankle fracture management in professional football players in the orthopedic literature. In this small series of ankle fractures in professional football players, all 3 had the same pronation-external rotation injury pattern. Given the high demands placed on the ankle by these professional athletes, we chose to use a 4.5-mm screw for fixation of the syndesmosis and a 3.5-mm reconstruction plate for fibular fixation to provide the most stable fixation. All 3 athletes were able to return to preinjury levels of athletic participation in the NFL without residual pain or stiffness.