Doctors Lounge - Orthopedics AnswersBack to Orthopedics Answers List
If you think you may have a medical emergency, call your doctor or 911 immediately. Doctors Lounge (www.doctorslounge.com) does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Site.
DISCLAIMER: The information provided on www.doctorslounge.com is designed to support, not replace, the relationship that exists between a patient/site visitor and his/her physician. Please read our 'Terms and Conditions of Use' carefully before using this site.
Date of last update: 10/01/2017.
Forum Name: Bone trauma and fractures
Question: Ankle sprain or fracture?
|holydivinity - Mon Nov 16, 2009 1:37 pm||
I badly rolled my ankle last week playing basketball and am still experiencing discomfort. I am (and have been) able to move my toes and even put limited weight on my foot. I can walk now, but have a slight limp. There is swelling on both sides of my foot towards the soul of my foot. It has been exactly 7 days since the injury. I've sprained my ankle in the past, and was typically fully recovered within 4-5 days. I have taken all necessary steps to reduce swelling (elevation + icing), which has subsided the swelling, however, as I've mentioned, I still have a slight limp. I haven't seen much improvement in the last 2-3 days. Just wondering if I should be concerned that it might be something more serious than an ankle sprain. Thanks
|Dr.M.Aroon kamath - Mon Feb 08, 2010 8:47 am||
Missed fractures (occult fractures) around the ankle and in the foot do occur at times.
The most commonly missed fractures are that of the talus, the bone that articulates with the lower ends tibia and fibula, forming the ankle joint proper.
Other fractures that are known to be missed at first presentation are...
- fractures of the base of the fifth metatarsal bone,
- calcaneal stress fractures ,and
- tibiofibular syndesmotic injuries.
Fractures of the talar dome (the most commonly missed), are usually the result of inversion injuries of the ankle. They are located medially or laterally on the talar dome with equal frequency and occasionally through both.
Lateral talar dome fractures are almost always associated with trauma, while medial talar dome fractures can be traumatic or atraumatic.
Fractures of the base of the fifth mata-tarsal bone(styloid process) can present with swelling over the outer aspect of the foot.
All these fractures present like ankle sprains and can be missed on routine plain X-ray projections.They tend to show up on plain films weeks after the injury.
As you have not responded satisfactorily to the conservative management for the 'ankle sprain', it will be best to consult an orthopedic surgeon and exclude any underlying fractures such as the ones mentioned above.
|| Check a doctor's response to similar questions|
Are you a Doctor, Pharmacist, PA or a Nurse?
Join the Doctors Lounge online medical community
Editorial activities: Publish, peer review, edit online articles.
Ask a Doctor Teams: Respond to patient questions and discuss challenging presentations with other members.