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the argument regarding his ankle is that most people believe (i think) that his ankle sprain wasn't extraordinarily bad, it destroyed him because his ankle was already weak. i think you are underestimating how ridiculously common ankle sprains are for basketball players (especially athletic ones). i've seriously sprained my ankle at least 5 times in the last 5 years, and witnessed tons of other people doing so as well.
I agree with you regarding pickup games, as I've seen a ton of them in pickup games. However, I never saw them in any college games, as we all got our ankles taped and/or wore ankle braces every game.....its very hard to hurt your ankles with this protection imo, and I'm certain NBA players take similar precautions.