How many letters does the top answer for “twist suddenly so as to sprain” have?

The most common answer is rick (4 letters).

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Crossword clue: twist suddenly so as to sprain

2 answers found in Letterora's clue database (Wikidata facts, Open Trivia DB, WordNet and Webster definitions — all licensed sources).

rick 4 letters wn-def

a stack of hay

wrick 5 letters wn-def

a painful muscle spasm especially in the neck or back (`rick' and `wrick' are British)

Pattern

Data: SCOWL, igerman98, RLA-ES, Grammalecte, br.ispell · frequency: OpenSubtitles (see Data & licenses)