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What should I do if I sprain my ankle?

Trimalleolar ankle fracture: This type involves breaks in three sides of the ankle: the medial malleolus of the tibia, as well as the lateral malleolus and posterior malleolus (in the lower portion of the fibula). Pilon fracture (also called a plafond fracture): This is a fracture through the weightbearing 'roof' of the ankle (the central.

Ankle sprains are very common injuries — some 25,000 people do it every day.​​​ Sometimes, it is an awkward moment when you lose your balance, but the pain quickly fades away and you go on your way. But the sprain could be more severe; your ankle might swell and it might hurt too much to stand on it. If it's a severe sprain, you might have felt a 'pop' when the injury happened.

A sprained ankle is an injury or tear of one or more ligaments on the outer side of your ankle​. If a sprain is not treated properly, you could h​ave long-term problems. A sprain can be difficult to differentiate from a broken bone without an X-ray. If you are unable to put weight on your foot after this type of injury, or if there is significant swelling, bruising, or deformity, you should seek medical treatment from a doctor (MD or DO). This may be your primary care physician or pediatrician, an emergency department, or a foot and ankle orthopaedic surgeon​, depending on the severity of the injury.

  • The ankle joint acts as a hinge joint, limiting the rotation of the talus. This makes the ankle one of the most stable joints in the lower extremities. Here is a brief definition of each of the ankle bones: The tibia forms the inside (medial) portion of the ankle; The fibula forms the outside (lateral) portion of the ankle.
  • Your ankle or heel may feel weak and it can cause the arch of your foot to drop. It can make walking, standing for long periods of time, or rising to your tip toes difficult. It can feel worse when you are active, particularly if you are running or jumping. It is caused by inflammation, damage or a weakness which over-stretches the tendon.

Tell your doctor what you were doing when you sprained your ankle. He or she will examine it and may want an X-ray to make sure no bones are broken. Most ankle sprains do not require surgery, and minor sprains are best treated with a rehabilitation program similar to your sporting activities. Depending on how many ligaments are injured, your sprain will be classified as Grade 1 (mild), 2 (moderate), or 3 (severe).

Treating Your Sprained Ankle

Treating your sprained ankle properly may prevent chronic pain and looseness. For a Grade 1 (mild) sprain, follow the R.I.C.E. guidelines:

  • Rest your ankle by not walking on it. Limit weight bearing and use crutches if necessary. If there is no broken bone you are safe to put some weight on the leg. An ankle brace often helps control swelling and adds stability while the ligaments are healing.

  • Ice it to keep down the swelling. Don't put ice directly on the skin (use a thin piece of cloth such as a pillowcase between the ice bag and the skin) and don't ice more than 20 minutes at a time to avoid frostbite.

  • Compression can help control swelling as well as immobilize and support your injury.

  • Elevate the foot by reclining and propping it up above the waist or heart as needed.

Swelling usually goes down in a few days.

For a Grade 2 (moderate) sprain, follow the R.I.C.E. guidelines and allow more time for healing. A doctor may immobilize or splint your sprained ankle.

A Grade 3 (severe) sprain puts you at risk for permanent ankle looseness (instability). On rare occasions, surgery may be needed to repair the damage, especially in competitive athletes. For severe ankle sprains, your doctor may also consider treating you with a short leg cast for 2-3 weeks or a walking boot. People who sprain their ankle repeatedly may also need surgical repair to tighten their ligaments.

Rehabilitating Your Sprained Ankle

Every ligament injury needs rehabilitation. Otherwise, your sprained ankle might not heal completely and you might re-injure it. All ankle sprains, from mild to severe, require three phases of recovery:

  • Nite team 4 1 0 7. Phase 1 includes resting, protecting, and reducing swelling of your injured ankle.

  • Phase 2 includes restoring your ankle's flexibility, range of motion, and strength.

  • Phase 3 includes gradually returning to straight-ahead activity and doing maintenance exercises, followed later by more cutting sports such as tennis, basketball, or football.

Once you can stand on your ankle again, your doctor will prescribe exercise routines to strengthen your muscles and ligaments and increase your flexibility, balance, and coordination. Later, you may walk, jog, and run figure eights with your ankle taped or in a supportive ankle brace.

It's important to complete the rehabilitation program because it makes it less likely that you'll hurt the same ankle again. If you don't complete rehabilitation, you could suffer chronic pain, looseness, and arthritis in your ankle. If your ankle still hurts, it could mean that the sprained ligament has not healed right, or that some other injury occurred.

To prevent future sprained ankles, pay attention to your body's warning signs to slow down when you feel pain or fatigue, and stay in shape with good muscle balance, flexibility, and strength.

The ankle joint, or talocrural joint is formed where the foot and leg meet, connecting the tibia, fibula, and talus. This joint allows the foot to move up and down or side to side.

The calcaneus is the largest bone in the foot, and it lies under the talus, with which it forms the subtalar joint, which works in conjunction with the ankle joint to allow triplane motion of the foot.

The talus works inside a socket, acting as a director to the movements of the ankle. To see how your talus controls the movements of your ankle, try this experiment: While keeping your heel on the ground, lift your toes and hold them up.

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This movement is called dorsiflexion. You will also note that your foot can be moved from side to side. Now place your foot on the ground and lift your heel up while keeping your toes on the ground,. This movement is called plantarflexion.

Although the foot is perfectly capable of moving numerous ways, most of its flexibility is due to the presence of other joints within the ankle region. The ankle joint acts as a hinge joint, limiting the rotation of the talus. This makes the ankle one of the most stable joints in the lower extremities.

Here is a brief definition of each of the ankle bones:

  • The tibia forms the inside (medial) portion of the ankle
  • The fibula forms the outside (lateral) portion of the ankle
  • The talus is also known as the ankle bone and is found underneath the tibia and fibula.
  • The calcaneus is also known as the heel bone and is found under the talus
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This movement is called dorsiflexion. You will also note that your foot can be moved from side to side. Now place your foot on the ground and lift your heel up while keeping your toes on the ground,. This movement is called plantarflexion.

Although the foot is perfectly capable of moving numerous ways, most of its flexibility is due to the presence of other joints within the ankle region. The ankle joint acts as a hinge joint, limiting the rotation of the talus. This makes the ankle one of the most stable joints in the lower extremities.

Here is a brief definition of each of the ankle bones:

  • The tibia forms the inside (medial) portion of the ankle
  • The fibula forms the outside (lateral) portion of the ankle
  • The talus is also known as the ankle bone and is found underneath the tibia and fibula.
  • The calcaneus is also known as the heel bone and is found under the talus

The Ankle Joint

The parts of the bone that move against each other have articular surfaces which form the ankle joint. Each is covered in a smooth hyaline cartilage and held together by strong ligaments: the lateral side is held together by the anterior talofibular ligament, the calcaneofibular ligament, and the posterior talofibular ligament.

The medial side has the anterior talotibial, calcaneotibial, and posterior talotibial ligaments. The joint and cartilage are surrounded by a synovial membrane that distributes fluid and lubricates the joint. The articular surfaces of the ankle joint consist of the following:

Inside of the lateral malleolus: This is the lower end of the fibula, and it moves against the outer side of the upper surface of the talus. This is the bone that sticks out on the outside of your ankle. You can easily see and feel it.

Undersurface of the lower end of the tibia: This surface moves against the talus and forms the roof of the socket. Instabro 5 3 2 unblocked.

Inside of the medial malleolus: This is located at the lower end of the tibia, and it moves against the inner side of the upper surface of the talus. This is the bone that sticks out on the inside of your ankle. You can easily see and feel it.

Dome of the talus: This is the upper part of the talus, and it fits into the ankle joint and moves against the lower ends of the tibia and fibula.

The stability of your ankle joint heavily depends on the ability of these ligaments to keep the talus bone (or central bone) in place while the ankle is moving back and forth. Your ankle joint is more stable while your foot is flat on the ground.

It is more susceptible to injury when your foot is pointed down (plantarflexed) with the talus moving out of the ankle mortise. When it is enlarged, it becomes dependent on the soft tissues and ligaments to support, protect, and stabilize it. Ligaments and soft tissues are softer than your bones, making them vulnerable to injury when your foot and toes are pointed down.

Ankle Pain

Ankle Bone Injuries

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Injuries to the ankle usually take the form of fractures, strains, or sprains. Ankle fractures are very common and can range in severity from less serious avulsion injuries to severe breaks of the tibia or fibula. In most cases only the tibia or fibula are injured.

Rarely is the calcaneus or talus fractured. Most ankle injuries are caused by the ankle rolling inward or outward.

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Injuries such as strains and sprains affect the muscles, tendons, and ligaments, not the bones of the ankle. These injuries are also very common and are sometimes associated with ankle fractures, but usually occur on their own. Broken ankle bones can vary in severity—sometimes they are merely a few cracks in the bone; other times pieces of the bone protrude through the skin.





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