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An ankle fracture is a broken one or more bones present in the ankle. This is often the result of sports injuries, sprains, falls, mischievous, or during car accidents. The severity of ankle fractures varies. From just a light crack, until it breaks completely and penetrates the skin.
The ankle has 3 parts of the bone, the tibia as the core bone located in the medial (deep) legs, the fibula located on the outside of the foot, and the talus as its base. The tip of the tibia and fibula bones is called the maleollus. They will form an arch just above the talus.
The ankle is also covered in joint capsules and synovial fluid to help reduce excessive friction in the ankle joint. An ankle may be injured if a tear occurs in the joint, or one of the bones is fractured.
There are some signs or symptoms that can occur if a person suffers an ankle fracture, including:
- A broken bone sounds.
- The bone around the ankle is very painful.
There are bones that penetrate the skin.
- The ankle shape is not normal or dislocation occurs.
- Can not run.
- Swollen ankle.
- Difficult to wear or take off shoes.
You may feel nauseated, faint, or dizzy from shock and pain arising from an ankle fracture.
Fracture Ankle Diagnosis
The diagnosis of ankle fracture can be done by physical examination and scanning tests to determine the exact location of the fracture.
Some scanning tests that can be performed if you experience symptoms of ankle fractures are:
X-ray. To help determine the right treatment and ensure an ankle fracture, X-ray scans can be performed as most of the ankle fractures can be seen using X-rays, but the fractured ankle is subtly invisible using X-rays.
Computed Tomography (CT). CT Scan can see the bone structure and soft tissues around it in more detail.
Magnetic resonance imaging (MRI). This test can see fractures that are not visible to the X-ray test because it uses radio waves and strong magnetic fields to produce images of soft tissues and bones that are very detailed.
Bone scan. Bone scan is a scanning test to look for abnormality in bone, such as infection, tumor, fracture, and crack by injecting a bit of radioactive material into the blood vessels.
Ankle Fracture Treatment
If you experience symptoms of ankle fracture, avoid weighing the ankle and immediately asking for help to go to the hospital. There are several things that can be done to help relieve swelling and pain, which is to deny legs that have broken ankle and compress with ice, and taking painkillers.
The cast is also used for treating a severe ankle fracture, accompanied by the use of painkillers. One important thing, try not to wipe the cast. Use crutches or crutches to walk so as not to overload a broken ankle. Check back to the doctor after a few weeks to find out the condition of your ankle.
If the ankle has a severe fracture, surgery is required to treat and reconnect a broken bone.
Ankle Fracture Operation
Surgery is performed to install screws, wires, and plates that maintain the bone position during the healing process. In order for the broken end of the bone to be connected again, the ankle should not be moved.
The length of healing process of an ankle fracture depends on the severity, but usually takes about 2-3 months. To be able to move the lower leg normally returns will take longer.
If after surgery you have symptoms that indicate neurological problems or blood supply to the ankle or infection as below, see your doctor immediately.
- The skin around the ankle turns blue.
The toe feels numb or like a needle stabbed.
Ankle becomes very swollen.
- The wound surgery in the ankle releases fluid with an unpleasant odour.
In addition, other ways such as reduction may be recommended by a doctor if you have a dislocation. The process of returning the bone at its original point is done manually, and usually the patient will be given sedatives or anaesthesia before performing this action.
To avoid further injury, you will generally be advised not to move a broken ankle so that the bones quickly reunite. Tools such as cast or special shoes may be paired.
You may also need therapy to relax the muscles and ligaments that are stiff in the legs and ankles. This therapy is done after the bone heals and can increase strength and flexibility.
Fracture Ankle Complication
Although rare, a person has the potential to have complications if the fracture is not handled appropriately. In addition, complications can also occur due to prolonged injuries, such as arthritis, deep venous thrombosis (DVT), bone infections, compartment syndrome, and damage to blood vessels or nerves.
See your doctor immediately if you have any signs of complications or similar symptoms.
Fracture Ankle Prevention
Prevent fracture of the ankle with the following steps:
Use the right shoes. Make sure you use the right shoes with the size of your feet and your activities. Avoid using shoes with thin or slippery soles.
Exercise moderately. Avoid pushing yourself to exercise beyond the capacity of the body, especially for beginners to avoid injury. In addition, it is advisable to change the type of exercise that is done regularly so as not to burden the ankle.
Enough lighting. Make sure your room is equipped with enough lighting to avoid slipping or sprains.
Keep bone condition. Consumption of foods and drinks with vitamin D content to keep the bone structure maintained, also assisted with regular exercise to increase the strength of the ankle. Ask the right sports doctor to strengthen your ankles.