Gouty arthritis is a disease caused by the dysfunction of purine metabolism in the body, and the increase of blood uric acid is caused by the abnormal purine metabolism. The clinical manifestations are redness, swelling, heat and pain in the joint, which can lead to the patient’s inability to walk normally, high values of serum uric acid and swelling of soft tissues around the ankle joint on X-ray. Second, ankle sprain, acute ankle sprain after local congestion, swelling, accompanied by obvious pain, the affected limb elevation or local cold compress can relieve the pain symptoms.