As the force cannot continue into the medial part of the growth plate since this is already closed, the epiphysis will fracture. With any injured ankle, however, you should not bear weight until a cast is placed or you are pain free. Most often, the ankle breaks during jumping, running or due to hard landing on the foot. High-impact ankle injuries are especially dangerous if the bone pokes through the skin and is exposed to the air. The major bones present in the ankle are the distal ends of the tibia and fibula. Ankle fractures also occur during slips on icy pavement, falls from a high place, or direct impacts to the ankle during a car crash or motorcycle accident. Consultation & Treatment for Ankle & Foot Fractures.

A Closed Fracture of Ankle can occur when there is complete or partial break in the bones of the ankle. 1986 Jun;38(3):98-9. For example, a fracture at the end of the fibula is called a lateral malleolus fracture, or if both the tibia and fibula are broken, it is called a bimalleolar fracture. There is an associated fracture of the medial malleolus or rupture of the deep deltoid ligament. (OBQ08.210) A 68-year-old female sustains a closed ankle fracture and is treated with open reduction and internal fixation. The open wound allows bacteria to contaminate the broken bone, and greatly increases the risk of infection. As in most ankle fractures the mechanism is external rotation. Ankle fractures are common injuries most often caused by the ankle rolling inward or outward. Dynamic Treatment of Ankle Fractures. Ankle Fracture Overview Ankle injuries are among the most common of the bone and joint injuries. They sometimes occur simultaneously. Differences Between an Ankle Sprain and Fracture Weight.

In these cases the fracture will be managed as an ankle sprain. Many people mistake an ankle fracture for an ankle sprain, but they are quite different and therefore require an accurate and early diagnosis. Authors J H Reuwer, F A Croiset van Uchelen, K W Scheepstra. Such fractures can be treated simply with a period of immobilization.

At physical exam there was some swelling on the medial side and although the patient did not complain of any pain higher in the lower leg, there was some tenderness when the fibula was palpated. Because these fractures are very small, they heal well with this management. A Closed Fracture occurs when a bone which is broken does not penetrate the skin and does not protrude out. Doctors classify ankle fractures according to the area of bone that is broken. Symptoms . Cast/Fracture Boot Immobilization Some ankle fractures can be treated without surgery. Dynamic Treatment of Ankle Fractures. In both cases, it is difficult to bear weight on the injured area, yet there is difference. In a Closed Fracture of Ankle either of these two bones, and in some cases both, can break but does not protrude through the skin surface. This type of injury can be difficult to detect. 2 An individual with a closed fracture will have immediate swelling and pain with difficulty moving the injured area, but will not have any open wound which is not the case with open fractures. Maisonneuve fracture: this may be associated with ankle fracture and is a spiral fracture of the proximal third of the fibula with a tear of the distal tibio-fibular syndesmosis and the interosseous membrane. Symptoms. These usually are injuries where one bone is minimally displaced. In either case, symptoms are more or less the same, yet a close observation may help you to assess the injury. An ankle fracture is Since there is no fibula fracture seen on the x-rays of the ankle, there must be a high fibular fracture. Her postoperative radiographs are shown in Figure A. Some minor ankle fractures do not require a splint or cast. Widening of the tibia-fibular clear If an ankle fracture occurs, one of the bones of this joint is damaged, but ligaments may also be involved in the injury.

A illustrated review of ankle injuries, mechanisms and management Dynamic Treatment of Ankle Fractures Neth J Surg. An ankle fracture resulting from a blunt trauma breaks the bone.