The Achilles tendon is the strong band of tissue that connects the calf muscle to the heel. May be accompanied by dislocation or ligament damage (sprain). Symptoms that one or more of the three bones that make up the ankle may be fractured are: severe pain in the ankle swelling bruising tenderness inability to bear weight and deformity of the joint. May be accompanied by back or knee injury due to the amount of force required to break the heel bone.Īnkle - Like severely sprained ankles, broken ankles are often caused by a fall, injury or car accident. Symptoms include pain on the outside of the ankle or under the heel inability to bear weight swelling and stiffness. If you think you have a sprain and it does not improve with rest and ice after one to two days, you may have a Lisfranc joint fracture and should see a doctor to prevent further injury.Ĭalcaneus (heel) - Usually the result of an automobile accident or fall from a great height. Symptoms are similar to a sprain and include swelling and pain at the top of the foot bruising possible inability to bear weight and pain when moving the foot while the ankle is held steady. Lisfranc joint (midfoot) -Often caused by dropping something heavy on the top of the foot or by falling after catching the foot in a hole. Symptoms of a toe or metatarsal fracture include pain that gets worse when walking swelling and sometimes bruising. The fifth metatarsal below the small toe may fracture if it is landed on badly or if the ligament of a twisted ankle pulls off a piece of the bone. These are usually related to a recent increase or change in activity. The metatarsals are prone to stress fractures, or cracks in the bone. They are painful but often heal without the need for surgery. Fractures in the bones of the foot and ankle cause a variety of symptoms and require different treatments depending on the location and severity of the break as well as the patient's overall health.ĭigits (toes/phalanges) and metatarsals (long bones of the forefoot) - There are many different kinds of fractures that can happen to the bones of the forefoot and toes. It may be a crack in the bone (a stress fracture) or a complete break the bones may shift out of place or break the skin. These may show fractures missed by X-rays.A fracture is a break in a bone. A computed tomography (CT) scan may be needed to get a clear picture of your bones. A magnetic resonance imaging scan (MRI) may be needed to see if there is damage to the cartilage or associated soft tissues, ligaments or tendons. In growing children, sometimes the fracture occurs through the growth plate and is invisible on the X-ray. X-rays can show cracks in the bones and bone chips on the bone surface. X-rays usually are ordered first to see whether the anklebones have been fractured. Your doctor may move your ankle up, down, side-to-side and around in a circle to which positions are most painful. Your doctor will generally ask how you hurt your ankle, how it has felt since the injury, and whether you have injured your the ankle before and ask about your physical and athletic goals to help decide the best course of treatment.ĭoctors often can diagnose an ankle fracture by pressing around the ankle to see if there are any tender spots, bumps in the bones or swelling. Fortunately, most ankle fractures occur without a dislocation. Nondisplaced, where the bone cracks but the joint stays in place with your talus between the tibia and the fibula, orĭisplaced, where the broken bones are pulled out of their normal alignment in the joint (dislocated). The bump on the inside of your ankle, the medial malleolus, is less commonly fractured. The lateral malleolus is the bottom of the fibula, the smaller lower leg bone. The most common fracture is to the bony bump on the outside of the ankle, the lateral malleolus. When any of these bones are broken, you are said to have an ankle fracture. They carry the weight of your body and help keep you balanced on uneven ground. These joints, along with the ligaments that hold the bones together absorb all the stress your ankle receives as you walk, run or jump. This joint allows the ankle to move from side to side. It is the coming together of the talus above and the calcaneus (heel bone) below. The subtalar joint is the second part of the ankle. It is responsible for the up and down movement of the foot. It is the coming together of three bones: the fibula of the shin on the outside of the ankle the tibia, also of the shin, on the inside of the ankle and that talus bone underneath them. The portion that we usually mean when we refer to the ankle is called the true ankle joint. While we tend to talk about the ankle as if it were a single joint, it is actually two joints.
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