S82.853

Clinical Causes: High-energy trauma from falls, especially from a height or onto an uneven surface. Motor vehicle accidents. Sports injuries involving twisting or direct impact to the ankle. Twisting or rotational injuries during physical activities. Osteoporosis or weakened bones increasing susceptibility to fractures.

Key Symptoms: Intense pain around the ankle area. Swelling and tenderness in the ankle. Visible deformity or misalignment of the ankle bones. Inability to bear weight or walk on the affected leg. Bruising and swelling may develop rapidly after injury. Limited range of motion due to pain and swelling.

Diagnosis Path: Diagnosis begins with a detailed medical history and physical examination, focusing on the injury mechanism and symptoms. Imaging studies are essential, primarily involving an X-ray of the ankle to confirm the presence of fractures and their displacement. In some cases, additional imaging such as CT scans may be ordered to better visualize the fracture fragments and aid in surgical planning. The goal of diagnosis is to assess the extent of bone damage and ensure proper treatment planning.

Treatment Protocols: Treatment options depend on the severity and complexity of the fracture. Common approaches include: - Surgical intervention to realign the broken bones and secure them with plates, screws, or wires. Surgery is often necessary for displaced fractures to restore stability. - Non-surgical management may be considered for nondisplaced fractures or in patients where surgery poses significant risks. This involves immobilization with a cast or boot. - Pain management with medications. - Elevation and ice application to reduce swelling. - Limited weight-bearing activities with crutches until healing progresses. Rehabilitation and physiotherapy are crucial post-treatment to regain strength, flexibility, and function of the ankle joint.