An ankle fracture is a break in one or more of the bones that make up the ankle joint: the tibia, the fibula, and the talus.
Immediate and severe pain that often radiates up the leg or down to the foot.
Significant swelling that may occur along the entire length of the leg.
Visible bruising or skin discoloration appearing shortly after the injury.
Tenderness to the touch specifically on the bony bumps of the ankle.
Physical deformity or misalignment if the bone has shifted significantly.
Inability to bear weight on the affected leg.
Physical Examination
X-rays: The primary tool used to see the location and severity of the break.
CT Scan: Used for complex fractures that involve the joint surface to see the bone in 3D.
MRI: Typically used if there is concern about concurrent ligament or cartilage damage.
Treatment depends on whether the ankle joint remains stable or if the bones have shifted out of place. Treatment options include:
Immobilization using a removable walking boot and weight bearing as tolerated if the fracture is stable.
Non-weight bearing status requiring the use of crutches, a knee scooter, or a wheelchair.
Closed reduction which is the manual manipulation of the bones back into place without surgery.
Open Reduction Internal Fixation (ORIF) surgery using plates and screws to hold bones together.