Review Question - QID 211935

A 19-year-old male college basketball player presents to the emergency department after twisting his ankle during practice. Physical examination reveals an antalgic gait in the exam room. There is moderate soft tissue swelling present along the lateral aspect of the ankle. Range of motion of the ankle elicits pain with inversion and eversion of the hindfoot. There is pain with palpation of the distal fibula and first metatarsal base. Anterior drawer test of the ankle is equivocal. Which physical exam finding is an indication to obtain ankle radiographs?