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  • Ankle Injuries & Surgery

    Ankle fracture surgery is typically recommended when the fracture is unstable or in a bad position. Surgery aims to realign the fractured bones and stabilize the ankle joint to promote proper healing and restore functionality.

    Open ankle fractures, also known as compound fractures, occur when the broken bones puncture through the skin. These injuries require surgery to clean the wound, remove any debris or foreign objects, and repair the fracture.

    However, not all ankle fractures require surgery. If the ankle fracture is stable and in a good position, it may be treated non-surgically using methods such as immobilization with a cast or splint, pain management, and physical therapy. This approach allows the body to heal the fracture naturally over time.

    In some cases, surgery may be deemed too risky if the patient has a severe medical condition. The decision to proceed with surgery is usually based on a careful assessment of the patient's overall health and the potential benefits and risks of the procedure. Factors such as age, underlying medical conditions, and the extent of the fracture will be considered by the orthopedic surgeon when determining the best course of treatment.

    It's important for patients with ankle fractures to consult with a medical professional who can evaluate their specific situation and recommend the most appropriate treatment plan.

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    <p><a href="">Physiotherapist,</a> discusses Ankle Pain and Physiotherapy</p>

    Physiotherapist, discusses Ankle Pain and Physiotherapy

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    <p><a href="">&nbsp;Orthopaedic Foot and Ankle Surgeon</a>, discusses arthroscopic surgery of the foot and ankle.</p>

     Orthopaedic Foot and Ankle Surgeon, discusses arthroscopic surgery of the foot and ankle.

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    <p><a href="">&nbsp;Orthopaedic Foot and Ankle Surgeon</a>, discusses What Are Your Surgery Options for<a href=""> Ankle Arthritis</a></p>

     Orthopaedic Foot and Ankle Surgeon, discusses What Are Your Surgery Options for Ankle Arthritis

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    <p>Sports Med, <a href="">Sports Medicine Physician</a>, discusses ankle sprains, diagnosis and common treatment options.</p>

    Sports Med, Sports Medicine Physician, discusses ankle sprains, diagnosis and common treatment options.

  • Arthroscopic Foot and Ankle Surgery

    An ankle sprain occurs when the ligaments that support the ankle joint are stretched or torn, typically as a result of the ankle twisting or turning beyond its normal range of motion. It is indeed a common injury that can occur in various sports activities or even during everyday activities.

    When you go to the hospital or seek medical attention for an ankle sprain, the healthcare provider will usually perform an X-ray to rule out the possibility of a fracture. An X-ray helps determine if there are any broken bones or other severe injuries present.

    Once a fracture is ruled out, the recommended treatment for an ankle sprain is often the RICE method, which stands for:

    1. Rest: It is important to rest the injured ankle and avoid putting weight on it. This helps prevent further damage and allows the healing process to begin.

    2. Ice: Applying ice to the affected area helps reduce pain, swelling, and inflammation. You can apply ice for about 15-20 minutes at a time, several times a day, especially during the first 48 to 72 hours after the injury.

    3. Compression: Using a compression bandage or wrap around the ankle helps control swelling and provides support. Make sure the compression is firm but not too tight, as it may restrict blood flow.

    4. Elevation: Elevating the injured ankle above the level of the heart helps reduce swelling. You can prop up your ankle on a pillow or cushion while resting.

    Following the RICE method can aid in the initial management of an ankle sprain. However, it's important to note that the severity of the sprain can vary, ranging from mild to severe. For more severe sprains or if symptoms persist, it is advisable to consult with a healthcare professional for further evaluation and guidance. They may recommend additional treatments such as physical therapy, bracing, or, in rare cases, surgery, depending on the specific circumstances.




    The RICE method (rest, ice, compression, and elevation) is a common approach for initial self-care after an ankle sprain. It helps reduce pain, swelling, and inflammation. However, it's important to note that the RICE method is primarily used during the acute phase of the injury (immediately after the sprain occurs). Once you have determined that there is no fracture, seeking treatment from a physiotherapist is recommended.

    When you visit a physiotherapist, they will assess your ankle to determine the specific ligaments involved and the severity of the sprain. As you mentioned, there are three grades of ankle sprains:

    1. Grade 1: Mild sprain with minimal ligament damage and only slight pain.
    2. Grade 2: Moderate sprain with partial tearing of the ligaments, resulting in more pain, swelling, and potential instability.
    3. Grade 3: Severe sprain with complete tearing of the ligament, leading to significant pain, swelling, and instability.

    The treatment approach will vary depending on the grade of sprain. A physiotherapist will provide specific exercises to improve range of motion, strengthen the ankle, and enhance stability. Initially, when weight-bearing is limited, they may focus on exercises that don't require full weight-bearing, such as range of motion exercises and trunk exercises to maintain overall strength.

    As you progress and are able to bear weight more comfortably, weight-bearing exercises, balance and proprioceptive exercises (to improve joint stability and control), and eventually plyometric exercises (dynamic movements) may be introduced.

    If you have specific goals such as returning to sports or certain activities, the physiotherapist will tailor your rehabilitation program accordingly. They may also recommend braces or other supports if there is instability in your ankle.

    If you're unable to bear weight immediately after the injury, it's important to seek medical attention, such as visiting a physician or going to an emergency department to have an X-ray taken to rule out any fractures.

    In summary, seeking treatment from a physiotherapist is crucial for proper assessment and tailored rehabilitation after an ankle sprain. They will guide you through exercises and treatments based on the severity of the sprain and your specific needs and goals.

  • MRI Scans for Ankles and How They Can Help Reveal Injuries

    Ankle injuries, particularly inversion-type injuries or twisting of the ankle, are indeed common in various sports activities such as running, soccer, football, rugby, tennis, and racquet sports. MRI (Magnetic Resonance Imaging) is considered the best imaging modality for assessing the ligaments, tendons, and bones around the ankle joint.

    When an ankle injury occurs, MRI can provide detailed visualization of the ligaments, tendons, and bone marrow to assess the extent of damage. It can reveal important information such as ligament tears or detachment, fluid accumulation within the joint, and bone marrow edema (swelling) that may occur as a result of the injury.

    In the example you mentioned, the MRI image shows a detached anterior tibiofibular ligament, which should normally be attached to the bone. The bright material seen in the image represents fluid within the joint, highlighting the detached ligament.

    MRI is particularly useful for evaluating soft tissues like ligaments and tendons, as well as providing a comprehensive view of the bones. Unlike other imaging modalities such as CT (Computed Tomography) or ultrasound, MRI is capable of identifying bone marrow edema, which can be an important finding in ankle injuries.

    If you have any questions or concerns about undergoing an MRI, it is advisable to consult your family doctor, a sports medicine specialist, or an imaging center. They can provide you with further information, address your concerns, and guide you through the process of obtaining an ankle MRI if necessary.

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