When I was 14 years old, I broke an ankle when I was about 5 miles from the the car; I was in the bottom of a canyon in California. Fortunately, it was broken in such a way that it would bear weight without further damage but not without pain. I was able to hike out, slowly and very painfully. I was with my father and we drove straight to the emergency room from the trail head. I was in a cast for three months after that.