An ankle fracture is a break in any bone of the ankle joint. It may be mild (like a bad sprain) or severe (including joint dislocation). Long-term pain and disability are possible.
Causes include blows to the ankle, falls (landing on the feet), or, most often, twisting the ankle.
Symptoms are pain, especially when putting weight on or moving the ankle, swelling, bruising, and a deformed joint.
The health care provider uses a physical examination and x-rays.
Treatment may be similar to treatment of a sprain (rest, ice, elevation, compression, and using a brace for protection). It may involve surgery and use of screws and plates to hold bones together during healing.
Most often, a cast or removable splint holds bones in position until they heal. If a cast is used, lower leg muscles will be a bit weak after removal of the cast. Physical therapy will help this common side effect. Complications include failure to heal, poor blood flow to the foot or toes (if cast is too tight or swelling occurs in the cast), blood clots, and infection or bleeding related to surgery.
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