In these cases, the repair depends on the injury. If the ankle is unstable, the bone is out of place and cannot be realigned or multiple bones are involved (along with ligament injury), your surgeon will most likely recommend a surgical repair. X-rays will be taken after a few weeks to ensure that the bone is healing in place. If the fracture can be stabilized and x-rays do not indicate severe deformity or shattered bone fragment floating within the joint, then the orthopaedic surgeon may recommend splinting or casting the ankle for several weeks. How do you treat a broken ankle? Treatment of a fracture is based on the severity, location, stability of the joint and whether ligaments are involved. Breaks occur from falling, car accidents, tripping or twisting the ankle. Patients who have an ankle break normally experience immediate swelling, bruising and inability to put weight on the foot/ankle. You can also break the entire joint where the three bones meet or the joint in between the tibia and fibula. When you break your ankle, your physician will refer to your break based on the region of the injury. The tibia and fibula are broken down into regions: Tibia - medial malleolus is the inside of the tibia posterior malleolus is at the back of the tibia Fibula - lateral malleolus is at the end of the bone As we age, the bones can also weaken, causing them to become even more vulnerable.Īnkle The ankle is made up of three bones - tibia (shin bone), fibula (small bone in the lower part of the leg) and talus (small bone that rests between the heel bone and tibia and fibula). It’s no wonder that nearly everyone ends up with a stress fracture or some sort of break in the foot, ankle or toes. Bone scans and CT scans can confirm the diagnosis as a stress fracture is unlikely to show up on an X-ray until healing has begun.The foot and ankle have a total of 30 bones! That’s a lot of small bones that get wear and tear as we walk, climb and run for many hours each day.The pain will get worse with exercise, particularly running, and ease with rest.Pain on the outside of the ankle which will have come on gradually.Stress fractures of the talus are sometimes seen in footballers and track and field athletes. The talus bone is the bone at the top of the ankle which the tibia or shin bone sits on. You may have swelling or even bruising over the area.Your ankle will feel tender where it passes behind and under the lateral malleolus (bony bit on the outside of your ankle).Gradual onset pain on the outside of the ankle.Repeated dislocation or slipping can mean the tendon rubs against the bone. The peroneal tendon runs behind the lateral malleolus or the bony bit on the outer ankle. If a partner or therapist passively moves your ankle into dorsiflexion (foot pointing upwards), this is likely to recreate symptoms.Impingement may develop following a sprained ankle that fails to heal properly.Symptoms of anterior impingement are sometimes also felt on the outside of the ankle.It can occur at the front of the ankle (anterior impingement) or at the back (posterior impingement). Inverting your ankle or moving it into a position where it is turned inwards may recreate symptoms.Īnkle impingement occurs when soft tissues within the ankle get pinched between the bones.For example, running around a left-hand bend running track if your left foot is injured. The patient may have pain or difficulty running on a bend.Tenderness will be felt at the opening of the sinus tarsi which is located on the outside of the ankle.Ankle pain that may be difficult to pinpoint but somewhere just in front of the bony bit, or lateral malleolus on the outside of the ankle.Damage to the sinus tarsi can be caused by overuse or an ankle sprain. The sinus tarsi is a small bony canal that runs into the ankle under the talus ankle bone. Your ankle will feel tender and painful when pressing in along the line the peroneal tendons pass.Symptoms are worse with exercises and improve with rest.In particular, behind and underneath the bony part on the outside, called the lateral malleolus.Pain and swelling on the outside of the ankle.Peroneal tendonitis/tendinopathy is inflammation of the peroneal tendons which run behind the bony bit on the outside of the ankle (lateral malleolus). It may occur through overuse, or following an acute injury that has not healed properly. Go to Ankle sprain rehabilitation programĬhronic lateral ankle pain develops gradually over time.Complications of ankle sprains can also occur, causing lateral ankle pain long after your injury occurred.Your foot inverts or rolls out, stretching or tearing the ligaments and tendons on the outside of your ankle.Sudden pain and swelling at the time of injury.The most common ankle injury is a sprained ankle.
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