Definition- A fracture, usually in either side of the ankle, often includes total tearing of one or more ankle ligaments.  A temporary dislocation is also possible.

Body Parts Involved-

• Lowest part of the lower leg bones (tibia & fibula)
• Ligaments that support the ankle on either side.
• 3 main bones of the ankle joint (talus, tibia, and fibula) may be involved with the dislocation or sprain.
• Blood vessels, nerves, periosteum (covering of bone), and other soft tissue close to the injury site.

• Severe ankle pain immediately after injury.
• Popping or tearing sensation in the outer or inner part of the ankle.  Sometimes there will be a sensation that ankle is dislocated, or was dislocated and has since popped back into the joint.
• Severe tenderness at the injury site.
• The injured person usually falls at the time of the injury and has great difficulty walking.
• Forcing the ankle in the direction of the pain may reveal some looseness in the joint.
• General swelling and bruising throughout the ankle and foot.

• Engage in vigorous presport strengthening and conditioning.
• Wear high-top athletic shoes for contact sports.
• Have adequate taping before participation in activities at risk.
•  Support the ankle well during sports activities for 12 months after any significant ankle injury.

• Full extent of the injury may not be recognized immediately, delaying treatment.
• Excessive postoperative bleeding or infection.
• Prolonged healing time if usual activities are resumed too soon.
• Proneness to repeated ankle injury.
• Unstable or permanently arthritic ankle joint.

First Aid:  Follow instructions for R.I.C.E

Medication:  For minor discomfort, you may use: Aspirin or ibuprofen,
and topical ointments.

Rehabilitation:  Begin daily rehab exercises when supportive wrapping is no longer needed.  Resume normal activity after pain has subsided.

Call your physician if: you have signs of severe ankle injury, pain swelling or bruising increase during treatment, or if you notice numbness or discoloration of the toes when walking.