The location of pain and swelling varies with the type of injury: Inversion sprains: Usually maximal at the anterolateral ankle Eversion injuries: Maximal over the deltoid ligament Maisonneuve fracture: Over the proximal fibula as well as the medial and sometimes lateral ankle Third-degree sprains (complete tears, often involving both medial and lateral ligaments): Often diffuse (sometimes the ankle appears egg-shaped) Generally, tenderness is maximal over the damaged ligaments rather than over the bone; tenderness that is greater over bone than over ligaments suggests fracture.