A 64-year-old female with well-controlled type II diabetes and a history of prior transient ischemic attacks (TIAs) sustained an injury to her right ankle when she slipped and fell on ice. She noted immediate right ankle pain and deformity, was unable to bear weight after her fall, and presented to the emergency room. The patient had diffuse swelling and ecchymosis throughout her ankle and tenderness to palpation over the lateral malleolus. There was no tenderness medially. She was neurovascularly intact.