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ANKLE FRACTURES

ANKLE FRACTURES

Ankle Fractures: Diagnosis and Treatment

If you suspect an ankle fracture or need more information about managing this condition, contact Ryan Foot and Ankle Clinic. Our experienced podiatrists are available at our locations in Charlotte, Concord, and Harrisburg. Call us today to schedule an appointment and get the expert care you need.

What Is an Ankle Fracture?

An ankle fracture is a break in one or more of the bones forming the ankle joint, commonly caused by rolling the ankle inward or outward. It is often confused with an ankle sprain, so it’s crucial to have the injury properly examined by a specialist. An accurate diagnosis is essential for effective treatment and recovery.


Ankle fractures can range from minor hairline fractures to severe breaks that may involve shattering of the tibia, fibula, or both. There are also avulsion fractures, where a small piece of bone is pulled off by a tendon or ligament. Symptoms of an Ankle Fracture:

Bruising

Rapid appearance of bruising at or near the site of the injury.

Swelling

Significant swelling that may extend along the leg.

Pain

Localized pain at the fracture site, potentially radiating up the leg.

Inability to Walk

Difficulty or inability to walk or bear weight on the injured ankle.

Blisters

Formation of blisters at the fracture site (requires immediate medical attention).

Deformity

Noticeable differences in the appearance of the injured ankle compared to the other.

Complications

Compound Fractures

When the broken bone pierces the skin, leading to an increased risk of infection and a longer recovery period. Immediate medical attention is crucial.

How Are Ankle Fractures Treated?

Treatment begins with a thorough examination by a foot and ankle specialist. If you suspect an ankle fracture and cannot visit Ryan Foot and Ankle Clinic immediately, seek emergency care and schedule a follow-up appointment with us as soon as possible. Diagnosis will typically involve X-rays and possibly other imaging studies to assess the type and severity of the fracture.

Initial Treatment

The R.I.C.E. protocol is commonly used for initial management:

REST

Avoid putting weight on the injured ankle to prevent further damage.

ICE

Apply ice packs for 20 minutes at a time, with 40 minutes off. Use a cloth or towel between the ice and your skin.

COMPRESSION

An elastic wrap may be used to help control swelling.

ELEVATION

Keep the injured ankle elevated above the level of your heart to reduce swelling.

Additional Treatments

Casting or Splinting

To protect and immobilize the ankle during healing.

Medication

Anti-inflammatories and pain relievers may be prescribed to manage pain and swelling.

Surgical Treatment

If surgery is necessary to repair the fracture and any associated soft tissue injuries, your surgeon will select the appropriate procedure based on the injury's specifics. Post-surgery, following your surgeon’s instructions is crucial to minimize the risk of complications such as infection, deformity, arthritis, or chronic pain.

Recovery and Follow-Up

Rehabilitation

Physical therapy might be recommended to restore strength and range of motion.

Ongoing Care

Regular follow-up appointments to monitor the healing process and adjust treatment as needed.

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