Tuesday, April 30, 2024

Broken Ankle: Types of Fractures, Diagnosis & Treatments

hair fracture in ankle

You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. “I suspect that he will be clinically healed enough by then to wear a regular shoe,” Schneider says.

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Most hairline fractures are caused from either overuse or repetitive activity. An increase in either the duration or frequency of activity can result in a hairline fracture. This means that even if you are used to running, suddenly increasing either your distance or the number of times per week you run can cause this injury. The main treatment for hairline fractures is refraining from doing activities that can aggravate the injury for approximately one month and half.

Stress Fractures of the Metatarsal Bones

As your fitness level improves, you can slowly increase the frequency, duration, and intensity of your exercise. In addition, if osteoporosis or other disease has weakened the bones, just doing everyday activities may result in a stress fracture. After surgery, patients are typically not weightbearing for 4 to 6 weeks until the bone heals. Patients are placed on a pain management protocol that minimizes their need for opioid medications. For the first couple of weeks, patients are in a splint and are elevating the limb 90% of the day. After 10 to 14 days, the sutures are removed and patients are typically placed into a removable boot.

How can I tell if my ankle is broken?

Ignoring a hairline fracture may result in a more serious fracture or break, which will be harder to treat. Some hairline fractures that are not treated become non-union fractures which will not heal. Long distance runners, for example, are particularly prone to hairline fractures of the foot, ankle and lower leg. Stress fractures can occur in any of the three ankle bones, especially the tibia or fibula.

hair fracture in ankle

Overuse stress fractures occur when an athletic movement is repeated so often that weight-bearing bones and support muscles do not have enough time to heal between exercise sessions. A hairline fracture, also known as a stress fracture, is a small crack or severe bruise within a bone. This injury is most common in athletes, especially athletes of sports that involve running and jumping. Many fibula fractures may require wearing a walking boot or cast for a period of time, whereas most tibia fractures need surgery. When both the tibia and fibula are fractured, or the joint is shifted or dislocated, surgery is usually the best option.

Biden Fractures Foot Playing With His Dog, Putting Him in a Boot (Published 2020) - The New York Times

Biden Fractures Foot Playing With His Dog, Putting Him in a Boot (Published .

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Contact us to book an appointment at either our St. Louis, Fenton or Creve Coeur office today. Your doctor will discuss your medical history and general health. They will ask about your work, your activities, your diet, and what medications you are taking. It is important that your doctor is aware of your risk factors for stress fracture. If you have had a stress fracture before, your doctor may order a full medical work-up with laboratory tests to check for nutritional deficiencies such as low calcium or Vitamin D. Anything that alters the mechanics of how your foot absorbs impact as it strikes the ground may increase your risk for a stress fracture.

Many ankle fractures happen after traumatic events such as motor vehicle accidents, falling or being injured playing sports. If the doctor suspects a broken bone, they will ask for ankle X-rays. The doctor may also ask for X-rays of your knee, shin, or foot, depending on where the pain is.

Assuming the bone is healed well, patients are then allowed to start weightbearing and to begin physical therapy. Patients will generally have six weeks of therapy or more if required. X-rays are usually required to determine whether there is a broken bone as opposed to a soft-tissue injury like a sprain, since ankle sprains and breaks have similar symptoms. Other radiology imaging, such as a CT scan or MRI, may be needed to determine the full scope of the injury. Because the ankle joint comprises three bones, there are numerous types of ankle fractures.

People who have a larger second metatarsal bone are also at risk. These fractures typically cause generalized pain in the middle of the foot. Bone is in a constant state of turnover — a process called remodeling.

Certain types of stress fractures may require additional stability. Your doctor may apply a cast to your foot to keep your bones in a fixed position and remove the stress on your involved leg. If your stress fracture occurred with light activity, your doctor may recommend a bone density scan (DEXA scan) to look at the strength of your bones overall. This can be helpful in diagnosing osteoporosis, and the results of this test can help your doctor determine whether you are a candidate for medications to help strengthen your bones. Doing "too much, too soon" is a common cause of stress fracture.

The fracture may not be visible until several weeks later when it has started to heal. After a few weeks, a type of healing bone called callus may appear around the fracture site. In many cases, this is the point at which the fracture line becomes visible in the bone. See your doctor as soon as possible if you think that you have a stress fracture in your foot or ankle. Even for the non-athlete, a sudden increase in activity can cause a stress fracture.

Severe open fractures require external fixations, where the metal screws or pins project outside the skin to keep the bones in place. The hip, elbow and ankle are the most common locations for avulsion fractures in the young athlete. You may need to spend a few weeks on crutches if you have an avulsion fracture around your hip. An avulsion fracture to your foot or ankle may require a cast or walking boot. At Missouri Orthopedics & Advanced Sports Medicine, we have the tools and knowledge required to diagnose and treat both hairline fractures and sprains, among other sports and work injuries.

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