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A man in his late 20s, working in construction, sustained an occupational ankle injury after jumping from a height of approximately 1.5 metres onto a concrete surface. He immediately experienced severe pain and visible ankle deformity ( figure 1A) and presented to the emergency department. CT revealed a closed medial subtalar dislocation without fracture or open wound (figure 1B). Manual reduction was performed under general anaesthesia without surgical intervention. The ankle was immobilised in a cast for 4 weeks, then transitioned to an orthotic brace. Rehabilitation progressed from partial to full weight-bearing. At 3 months, ultrasound confirmed ligament healing, and stress radiographs showed no instability. At review, the patient reported no pain or functional limitation, had returned to heavy construction work and showed no evidence of recurrent subtalar dislocation or talar avascular necrosis.