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ankle fracture

Ankle fracture is a break of the ankle bones. It is typically diagnosed by X-ray. Treatment is with either casting or surgery.

Ankle fracture Symptoms can be similar to those of ankle sprains ( pain), though typically they are often more severe by comparison. It is exceedingly rare for the ankle joint to dislocate in the presence of ligamentous injury alone. However, in the setting of an ankle fracture the talus can become unstable and subluxate or dislocate. Patients may complain of bruising, or there may be an abnormal position, abnormal motion, or lack of motion.

Evaluation of ankle injuries for fracture is done with the Ottawa ankle rules, a set of rules that were developed to minimize unnecessary X-rays. There are three x-ray views in a complete ankle series: anteroposterior, lateral, and oblique (or "mortise view").

On clinical examination, it is important to evaluate the exact location of the pain, the range of motion and the condition of the nerves and vessels. It is important to palpate the calf bone because there may be an associated fracture proximally, and to palpate the sole of the foot to look for a Jones fracture at the base of fifth metatarsal.

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