Here are the answers to the most frequently asked questions about treating a broken ankle. Malleolus fracture: xray Fractured ankle: what is the treatment? The X-ray also determines the type of fracture and guides the type of care. Only an X-ray can confirm the diagnosis and exclude the diagnosis of a simple ankle sprain, which causes the same symptoms (pain, functional impotence, swelling) but to a lesser degree. If none of the criteria are met, then an X-ray is usually not needed. If any of these criteria are met, then an X-ray of the ankle is necessary to rule out a fracture. bone tenderness at the navicular bone (for foot injuries).bone tenderness at the base of the fifth metatarsal (for foot injuries), OR.the inability to bear weight immediately after the injury and in the emergency department for four steps ,OR.OR pain in the midfoot zone (the area of the foot between the ankle and the toes).bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus.bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR.the inability to bear weight immediately after the injury and in the emergency department for four steps, OR.Pain in the malleolar zone (the bony protuberances on either side of the ankle).These rules are a set of clinical criteria used to determine if an ankle X-ray is necessary in cases of ankle injury. To diagnose an ankle fracture, the Ottawa ankle rules are commonly used. How is the diagnosis of an ankle fracture made?
#LATERAL MALLEOLUS FRACTURE BRUISING SKIN#
The skin changes color, becoming blue or purple. Other signs may occur but are not systematic: Even without weight-bearing, the pain is significant. This is called functional impotence: it is impossible to put weight on the fractured foot. What are the symptoms of a broken ankle?Īn ankle fracture rarely goes unnoticed, even a fracture of only one malleolus.Īfter a fall or trauma, the broken ankle swells and becomes very painful. Regardless of the type and severity of the fracture, rehabilitation of at least a few sessions is often necessary either in the days following the fracture (less common) or in the weeks following (more frequent). They require more significant care and monitoring. Open ankle fractures are rarer and usually occur after a very significant trauma (often a motorcycle accident). When an ankle fracture is open, it means that the bone is sticking out of the skin. These different ankle fractures can be closed or open. A fracture with bone displacement often requires more extensive care, including surgery. Regardless of the type of fracture, an ankle fracture can be with or without bone displacement. Clinical audit of ankle fracture management in the elderly. X-ray of an operated trimalleolar fracture. (I have also written a more specific article on these tibia and fibula fractures and physical therapy) Complex ankle fracture: both malleoli, the lower end of the tibia, and the fibula (previously called the peroneal bone), which are the two bones of the leg, are broken. When we talk about a trimalleolar fracture, we are referring to a fracture of both malleoli and the lower part of the tibia that is located at the foot level. Trimalleolar fracture, or triple ankle fracture: this name can be confusing as there are only two malleoli in the ankle. It is also known as a double ankle fracture. Bimalleolar fracture: both the medial and lateral malleoli are broken. Fracture of the medial malleolus or internal malleolus, or unimalleolar fracture: only one malleolus is broken. 👉 Here are their different names in common and medical language: There are four main types of ankle fractures, depending on the broken bone(s). When we talk about a broken ankle, we are referring to an ankle fracture and not a simple ankle sprain. What are the different types of ankle fractures? However, it’s in French! You can display English subtitles by clicking on the gear icon (Subtitles>Auto-translate>English) 🙂 Here’s a video of me summarizing this article. What are the specificities of ankle fractures in children?. How do I know if my ankle fracture was not properly treated?. What are the possible complications after a bimalleolar fracture?. Should I be concerned about a swollen ankle after a broken ankle?. Is ankle pain normal after a broken ankle?. 
Ankle fracture: what is the recovery and healing time ⏱️?.Ankle fracture: how does physical therapy work?.What kind of walking boot/brace should be worn?.How long does it take to walk after a broken ankle?.How long should you wear a cast after an ankle fracture?.Fractured ankle: what is the treatment?.How is the diagnosis of an ankle fracture made?.What are the symptoms of a broken ankle?.What are the different types of ankle fractures?.Disclaimer: Amazon affiliate links (coming soon)
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