An ankle fracture is a break of a bone in the ankle joint. The joint is made up of 3 bones:
The ankle joint is supported by 3 groups of ligaments. An injury that causes a fracture may also damage one or more of these ligaments.
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An ankle fracture can occur when the joint is forced beyond its normal range of motion. It can also be caused by a direct blow to the bone itself. Any form of ankle trauma may cause injury, including:
Factors that increase your chances of getting an ankle fracture include:
You will be asked about your symptoms, physical activity, and how the injury occurred. An examination of the injured area will be done.
Treatment will depend on the severity of the injury. Treatment includes:
Devices that may be used to hold the bone in place while it heals include:
Pain medication may be prescribed. More x-rays will be ordered while the bone heals to ensure that the bones have not shifted position.
A physical therapist will help with range-of-motion and strengthening exercises.
It takes at least 6-8 weeks for even a simple ankle fracture to heal. It will be several months before intense physical activity can be resumed.
To help prevent ankle fractures:
American Orthopaedic Foot and Ankle Society
Ortho Info—American Academy of Orthopaedic Surgeons
British Columbia Podiatric Medical Association
Canadian Orthopaedic Foundation
Ankle fracture. American Orthopaedic Foot & Ankle Society website. Available at: http://www.aofas.org/footcaremd/conditions/ailments-of-the-ankle/Pages/Ankle-Fracture.aspx. Accessed August 24, 2017.
Ankle fractures (broken ankle). Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: http://orthoinfo.aaos.org/topic.cfm?topic=A00391. Updated March 2013. Accessed August 20, 2014.
Chaudhry S, Egol KA. Ankle injuries and fractures in the obese patient. Orthop Clin North Am. 2011;42(1):45-53.
Scott AM. Diagnosis and treatment of ankle fractures. Radiol Technol. 2010;81(5):457-475.
9/10/2014 DynaMed Plus Systematic Literature Surveillancehttp://www.dynamed.com/topics/dmp~AN~T903791/Ankle-fracture-emergency-management: Mosher TJ, Kransdorf MJ, et al. ACR Appropriateness Criteria acute trauma to the ankle online publication]. Reston (VA): American College of Radiology (ACR);2014. 10 p. Available at: http://www.guideline.gov/content.aspx?id=48284#Section420. Accessed September 10, 2014.
Last reviewed September 2018 by EBSCO Medical Review Board Warren A. Bodine, DO, CAQSM Last Updated: 9/10/2014