Broken ankle pictures x rays. Broken Ankle X-Rays: A Comprehensive Guide to Diagnosing and Treating Ankle Injuries

31.05.202214.07.2023 by alexxlab

What are the common types of broken ankle x-rays? How can x-rays help diagnose ankle injuries? What are the treatment options for a broken ankle?

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Understanding Broken Ankle X-Rays

Broken ankles, also known as ankle fractures, are a common injury that can occur due to a variety of reasons, such as sports accidents, falls, or car accidents. X-rays are an essential tool used by healthcare professionals to diagnose and assess the extent of an ankle injury. These images provide a clear view of the bones in the ankle, allowing doctors to identify any fractures, dislocations, or other abnormalities.

Common Types of Broken Ankle X-Rays

There are several different types of x-rays that can be used to examine the ankle, each providing specific information about the injury:

Anteroposterior (AP) View: This view shows the ankle from the front, allowing the doctor to see any breaks or displacements in the tibia and fibula bones.
Lateral View: The lateral view provides a side-on look at the ankle, helping to identify fractures or dislocations in the talus bone.
Mortise View: This view is taken with the foot slightly rotated inward, providing a more detailed look at the ankle joint and the relationship between the tibia, fibula, and talus bones.

Diagnosing Ankle Injuries with X-Rays

X-rays are crucial for diagnosing the type and severity of an ankle injury. They can help identify:

Fractures: X-rays can clearly show any breaks or cracks in the bones of the ankle, such as the tibia, fibula, or talus.
Dislocations: X-rays can reveal when the bones in the ankle joint are out of alignment, indicating a dislocation.
Soft Tissue Injuries: While x-rays cannot directly show soft tissue damage, they can provide clues about the extent of the injury, such as the presence of swelling or joint instability.

Treating a Broken Ankle

The treatment for a broken ankle will depend on the type and severity of the injury, as well as the individual patient’s needs and preferences. Common treatment options include:

Immobilization: The ankle may be immobilized with a cast, splint, or boot to prevent further injury and allow the bone to heal.
Surgery: In some cases, surgery may be necessary to realign the bones and stabilize the ankle joint, using plates, screws, or other hardware.
Physical Therapy: After the initial treatment, physical therapy can help restore strength, flexibility, and range of motion in the ankle.

Preventing Ankle Injuries

While some ankle injuries are unavoidable, there are steps you can take to reduce the risk of a broken ankle:

Wear Proper Footwear: Choose shoes with good support and traction to help prevent ankle sprains and fractures.
Strengthen Ankle Muscles: Exercises that target the muscles and tendons around the ankle can help improve stability and reduce the risk of injury.
Use Caution in Risky Situations: Be extra careful when engaging in activities that may put your ankles at risk, such as sports, hiking, or playing on uneven surfaces.

The Importance of Seeking Medical Attention

If you suspect you have a broken ankle, it’s crucial to seek medical attention as soon as possible. Untreated ankle fractures can lead to long-term complications, such as chronic pain, instability, and arthritis. A healthcare professional can perform a thorough examination, order the necessary x-rays, and develop a personalized treatment plan to help you recover and regain full function of your ankle.

Conclusion

Broken ankle x-rays are an essential tool for diagnosing and treating ankle injuries. By understanding the different types of x-rays and how they can be used to identify fractures, dislocations, and other abnormalities, healthcare professionals can develop an appropriate treatment plan to help patients recover and prevent long-term complications. Whether you’ve sustained a sports-related injury or a traumatic fall, it’s important to seek medical attention and follow the recommended treatment plan to ensure a successful recovery.

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How to recognize an ankle fracture and what to do next

Likbez

Health

May 5, 2021

Even if the injury is cured, it can remind of itself after many years.

When to seek urgent help

You need to go to the hospital as soon as possible if:

you have injured your ankle and now you cannot support your foot;
after an injury, the ankle has grown dramatically in size (swollen), looks deformed, or has become a distinct blue-black color;
sharp pain appears even when touching the ankle area, and it is completely impossible to turn the foot.

Never lean on your leg and ask someone to take you to the emergency room. If this is not possible, call an ambulance.

What is an ankle fracture

An ankle fracture is an injury that breaks or cracks one or more of the three bones that make up the ankle joint.

Big tibia. This is the larger of the two bones in the lower leg. Its outer edge forms a hard bony protrusion on the inside of the ankle joint – the so-called medial malleolus. People call it the ankle.
Small tibia. More subtle. Its lower edge (lateral malleolus) is palpable in the form of a bone on the outside of the ankle joint. In popular parlance, this is the outer side of the ankle.
Ram. This is the name of the sphenoid bone, on which the lower edges of the tibia and tibia rest.

Illustration: Alila Medical Media / Shutterstock

There are many ways to break any of the ankle bones. But most often this happens when a person unsuccessfully stands on his leg and twists it. Or he receives a direct blow, due to which one or both ankles suffer at once.

How to recognize an ankle fracture

In addition to the symptoms listed above, there may be less obvious signs of a fracture. Even if it seems to you that everything worked out and the injury is not very dangerous, be sure to contact a surgeon or a traumatologist in such cases:

Edema gradually increases.
You cannot move your ankle in the normal range of motion.
You feel insecure when you lean on your injured leg. Even if you can stand, this does not mean that there is no fracture.
You feel a snap or strange crack in your ankle when dropped or hit.
Ankle continues to hurt 3-4 days after a fall or impact.

An accurate diagnosis can only be made after an X-ray or (in more complex cases) a CT or MRI of the ankle joint.

How to treat a broken ankle

It depends on how severe the injury is.

If the fracture only affects one bone, and its segments are very close together, the surgeon will simply put a cast on the ankle and foot. You will have to walk in it for 6-8 weeks.

If the fracture is more extensive and the bones are displaced, they will have to be manually aligned. This process is called reduction. The procedure is quite painful, so it is carried out under anesthesia. Sometimes a local anesthetic is enough. But in some cases, sedative pills and muscle relaxants may be required. Which option of anesthesia will be more effective in your case, the doctor decides. After reduction, the ankle is again placed in a cast.

In the most severe fractures, the bone must be fixed in its normal position with special surgical screws, plates or pins. If these devices interfere with you, the surgeon will remove them after the bone heals.

After the cast is removed, your doctor will recommend exercises to restore joint mobility.

Why ankle fractures are dangerous

Even with qualified treatment, ankle fractures do not always go unnoticed. Sometimes they cause complications, for example:

Arthritis.
Compartmental syndrome. This is a condition in which blood circulation in the area of the affected joint is disturbed. Because of this, the ankle can constantly hurt, swell, and the muscles can atrophy.
Nerve or blood vessel injury. This is usually noticed by regularly occurring numbness, swelling, and circulatory problems.

Complications can occur months or even years after the injury. If you notice that your ankle has begun to hurt, be sure to contact the surgeon for an examination.

How to prevent an ankle fracture

From accidents and accidental falls, for example, in ice, no one is safe. However, there are ways to reduce the risk of fracture.

Choose your footwear wisely depending on the activity you are about to do. So, if you plan to spend the whole day on your feet, running up stairs and not the smoothest asphalt, give up stiletto sandals and choose shoes with stable heels. When hiking, wear high boots or sneakers with ankle support.
Change your sports shoes regularly. Discard your shoes as soon as the tread or heel wears out or if they wear unevenly. If you’re into running, buy a new pair every 400-600 miles.
Be sure to warm up before training. Especially those that involve jumping, running or climbing stairs, or other ankle stress.
Watch your diet. In order for the body to maintain bone strength, you must get enough calcium and vitamin D. Therefore, do not forget to include milk, yogurt, and cheese in your daily menu. And ask your GP if you should take vitamin D supplements.
Strengthen your ankle muscles. This is especially important if you find yourself twisting your leg every now and then. Ask your therapist to recommend exercises to strengthen your muscles.
Clean up the mess in the house. Small toys, scattered shoes, wires, bags, shopping bags – any of these items can be tripped over and injured.
Look under your feet.

All About Ankle Fracture

The most common ankle injury is an ankle fracture.
Such damage limits motor activity and disrupts the usual way of life, in addition, untimely treatment and an irresponsible approach to rehabilitation can cause serious complications.

In order to avoid adverse consequences, it is worth taking immediate measures, properly organizing orthopedic treatment and starting rehabilitation.

Where is the ankle?

Ankle is a bilateral bone process of the lower leg, consisting of the outer (lateral) and inner (medial) ankles.

The outer ankle is the distal end of the fibula that forms the lower leg. The tibia adjoins the inner.
They run parallel to each other and form a “corner” located at the junction of these parts. Visually, the ankle is a bony tubercle on both sides of the ankle.

The ankle is the most important part of the ankle and acts as a stabilizer. Due to high mechanical loads, it is most vulnerable to damage.

What can cause an ankle fracture

a strong blow or bruise
tucked foot
fall from a height or on an unstable surface

Symptoms of an ankle fracture

immediately after injury, there is a sharp pain that partially limits the mobility of the leg or completely blocks it
swelling at the site of injury
hematoma and deformity appear
maximum pain in the region of 3-4 cm above the ankle
diffuse bruising is observed when bone fragments are displaced
an “angle” appears between the lower leg and the distal limb
pathological mobility occurs
a characteristic crunch is clearly audible when moving a limb

The severity of symptoms directly depends on the complexity of the fracture and damage to the ligaments.

Types of ankle fractures

The tibiofibular syndesmosis is a bony junction consisting of three ankle ligaments.

Damage below the syndesmosis

isolated damage
violation of the integrity of the medial malleolus
violation of the integrity of the posterior medial edge

Injuries of the fibula at the level of syndesmosis

isolated fracture
with medial damage
damage to the medial part and a fracture of the posterolateral edge

Injuries above the syndesmosis

simple diaphyseal fracture of the fibula
multifragmented diaphyseal fracture of the fibula
proximal fibula fracture

Fracture diagnosis

The following diagnostic methods are used to confirm the fracture:

X-ray of the ankle in two projections
Computed tomography
Angiography
MRI (the most informative and safe technology)

Treatment

There are two types of ankle fracture treatment:

conservative
operational

To determine the optimal treatment tactics, it is necessary to take into account the characteristics of the injury, age, gender and the presence of pathologies.

Conservative treatment of ankle fractures
Treatment consists of manual anatomical reconstruction of the damaged joint, complete immobilization and treatment of damaged ligaments.

Conservative treatment is indicated for non-displaced ankle fractures, as well as for severe comorbidities or poor soft tissue condition when surgery is contraindicated.

Conservative methods include:

manual reposition of fragments
application of fixation plaster casts
immobilization with rigid orthoses
wearing orthopedic brace

Ankle fracture surgery
Surgery is appropriate for complex open fractures, fractures with displacement, and significant internal soft tissue injuries.

The operation must take place no later than 8 hours after the injury, before the formation of swelling of the tissues. Otherwise, the operation should be postponed until the swelling subsides. Before surgery, the fracture should be fixed with an incised plaster cast or skeletal traction.

In both cases, rehabilitation is accompanied by medication to relieve pain, relieve inflammation and prevent thrombosis.

Rehabilitation

Thanks to rehabilitation measures, it is possible to restore joint mobility, restore shape and eliminate the development of complications. A competent and responsible approach to rehabilitation, a well-designed plan of specially selected exercises will help you recover much faster and return to your previous full-fledged lifestyle after such a serious injury.

Neglect of these recommendations threatens with incorrect fusion of fragments, which threatens with serious consequences: false articulations, frequent subsequent dislocations, lameness, flat feet, as well as possible persistent pain and the development of deforming pseudarthrosis.

Recovery time
The term for achieving the first improvements, subject to all recommendations, directly depends on the complexity of the injury:

fracture without displacement – 1 week
displaced injuries and manual reduction of the fracture – 2 weeks
after surgery to reduce fragments – 3 weeks
2 months after avulsion of the tibial edge

On average, a simple fracture heals completely in 2. 5 months. A displaced fracture requires at least six months.

Training of the leg without crutches can be started 3 months after the fracture. The issue of returning to the usual way of life is decided individually. For example, you can return to sports only two years after the injury.

Cast alternative for broken ankles

For many years, the use of gypsum has been the gold standard in traumatology, but the heavy and completely non-breathable material practically does not transmit X-rays, and this greatly complicates the control of the rehabilitation process. Wearing a cast is accompanied by severe itching, and a lot of weight unnecessarily loads an already injured limb. The combination of these factors gave impetus to the search for new technologies in the treatment of such injuries.

Ankle fracture orthoses

In modern medical practice, an alternative to gypsum method of fixing injured limbs – orthoses – is increasingly being used.

The method is based on wearing a special orthopedic product at the site of a bone fracture, dislocation, soft tissue injury, to restore their previous performance.

The choice of an ankle brace for ankle fractures depends on the stage of the process. In the acute period, the choice of a doctor will stop at a rigid orthosis, which will eventually be replaced by a semi-rigid one, and then an elastic one.

Orthosis functions:

full or partial immobilization
direction or restriction of movement
reducing the load on the damaged area
prevention of secondary damage during early cast removal
shape correction
ease of movement or relief of pain

Indications for ankle orthoses
Direct indications for the use of orthoses include:

ankle fractures
dislocations and subluxations in the ankle area
ligament injuries of varying complexity
a whole range of inflammatory and degenerative diseases
ankle instability
childhood congenital anomalies, rickets and others
injury prevention in athletes and overweight people

Types of ankle orthoses:

Rigid (degree of fixation: full)

After fractures, long-term immobilization of the joint is necessary. With the task of long-term complete immobilization of the joint, a rigid orthosis does an excellent job. Such an orthosis contributes to the correct fusion of the bone so that the motor function is restored to the fullest extent.

The brace is a comfortable, breathable design that visually resembles a boot with zippers or Velcro.

Semi-rigid (Hold: strong)

The use of a semi-rigid orthosis is necessary during the rehabilitation period after an injury. which allows you to treat not only fractures, but also other diseases of the bone and articular systems.

Used for Achilles injuries and ligament injuries.
This orthosis fits into everyday shoes.

Stretch (hold: light, medium)

Used by athletes to prevent joint injuries. Such models are comfortable in everyday wear, as they do not cause discomfort.

The bandage will help to provide additional support to the ligaments and joints during intense activities, so that the likelihood of damage to them will be minimal. If you often run, play football, volleyball or other active sports, such devices are simply indispensable for you.

Product code

#1424

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4 990 ₽

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