On physical examination, the lower extremity is inspected and palpated while noting any existing hindfoot varus. The hindfoot motion should be recorded and peroneal muscle strength should be tested. Signs of generalized ligamentous laxity should be elicited. Stability testing consisting of the anterior drawer and talar tilt test should be performed. Proprioception is often abnormal in these patients as grade III ankle sprains have been noted to have up to 86% and 83% of peroneal nerve and tibial nerve stretch injury, respectively.37 The modified Romberg test is used to examine proprioception as the patient stands on the normal ankle with their eyes open and then closed and is repeated for the injured ankle.