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What is a fractured ankle?

The ankle joint is made of three bones – the tibia (shinbone), fibula (calf bone), and talus (a small bone between the tibia, fibula, and the heel bone). In a fractured ankle, there can be a break in any of the bones of the ankle joint. The fracture can occur in a single bone (a common occurrence), which does not impair daily activities, or it can be a severe fracture that dislocates the ankle, prompting medical attention. A fractured ankle can be seen in any age group. A frequently occurring type of ankle fracture is a fracture of the lateral malleolus (55% of all ankle fractures). In a study conducted in the US, the incidence of ankle fractures was found to be 187 fractures per 100,000 person-years. In India, the yearly incidence is found to be 122 fractures per 100,000 individuals.

What are its main signs and symptoms?

The most common presentation of fractured ankle includes:

  • Unbearable pain that can progress from the affected site to the knee.
  • Localised or entire leg oedema (swelling).
  • Scaly blister formation.
  • Inability to walk.
  • Bone poking through the skin.

Tenderness may occur, and the person may not be able to bear weight on the affected foot. A fractured ankle can be easily confused with a typical sprain.

What are its main causes?

The most frequently encountered causes for ankle fracture are falls, sprained ankle, and the damage sustained while playing sports. Patients who have high blood sugar levels may not realise they have an injury to their body due to the damage to their sensory nerves, which can cause further damage to the bone and surrounding structures. Smoking and high body mass index (BMI) ratio are often linked to fractures of the ankle.

How is it diagnosed and treated?

The physician may check the history of the traumatic incident that caused the fracture along with any concomitant medical condition, clinical features, and ask for further evaluation of the affected ankle. The fracture may be analysed through X-rays. Other tests include CT scan and MRI scans. A stress test is conducted to see if there is any need for surgical intervention.

Treatment strategies include:

Surgical method: For dislocated ankle or protrusion of bone through the skin.

Non-surgical methods:

  • Use of ice and elevating the affected leg, as it reduces pain and swelling.
  • Splint use can provide help to the affected ankle if there is no dislocation of the bone.
  • Taking complete rest and avoiding placing weight on the foot.
  • Foot immobilisers or use of plaster may prevent any further movement.

Some analgesics and non-steroidal anti-inflammatory drugs (NSAIDs) may be used to control pain and inflammation. Physical therapy may accompany the medication regimen for a speedy recovery.

A fractured ankle is not a long-term condition and can be healed through proper care and management of the affected foot.

  1. Medicines for Fractured Ankle
  2. Doctors for Fractured Ankle
Dr. Vivek Dahiya

Dr. Vivek Dahiya

ओर्थोपेडिक्स

Dr. Vipin Chand Tyagi

Dr. Vipin Chand Tyagi

ओर्थोपेडिक्स

Dr. Vineesh Mathur

Dr. Vineesh Mathur

ओर्थोपेडिक्स

Medicines for Fractured Ankle

Medicines listed below are available for Fractured Ankle. Please note that you should not take any medicines without doctor consultation. Taking any medicine without doctor's consultation can cause serious problems.

Medicine NamePack SizePrice (Rs.)
BrufenBrufen 200 Tablet4
CombiflamCOMBIFLAM 60ML SYRUP24
Ibugesic PlusIbugesic Plus Oral Suspension Strawberry27
BrugelBrugel 5% W/W Gel114
TizapamTizapam 400 Mg/2 Mg Tablet42
FbnFbn 0.03% Eye Drop50
FlurbinFlurbin 0.03% W/V Eye Drop51
Espra XnESPRA XN 500MG TABLET 10S104
LumbrilLumbril Tablet16
OcuflurOcuflur Eye Drop44
TizafenTizafen 400 Mg/2 Mg Capsule53
EndacheEndache Gel47
FenlongFenlong 400 Mg Capsule21
Ibuf PIbuf P Tablet11
IbugesicIbugesic 100 Mg Suspension16
IbuvonIbuvon 100 Mg Suspension8
Ibuvon (Wockhardt)Ibuvon Syrup9
IcparilIcparil 400 Mg Tablet23
MaxofenMaxofen Tablet5
TricoffTricoff Syrup48
AcefenAcefen 100 Mg/125 Mg Tablet23
Adol TabletAdol 200 Mg Tablet33
BruriffBruriff 400 Mg Tablet4

Do you or anyone in your family have this disease? Please do a survey and help others

References

  1. Meena S, Gangary SK. Validation of the Ottawa Ankle Rules in Indian Scenario. Arch Trauma Res. 2015 Jun 20;4(2):e20969. PMID: 26101760
  2. Orthoinfo [internet]. American Academy of Orthopaedic Surgeons, Rosemont, Illinois. Ankle Fractures (Broken Ankle).
  3. Journal of Arthritis. Ankle Fractures: Review Article. OMICS International. [internet].
  4. Clinical Trials. Operative Versus Non Operative Treatment for Unstable Ankle Fractures. U.S. National Library of Medicine. [internet].
  5. Better health channel. Department of Health and Human Services [internet]. State government of Victoria; Bone fractures
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