S82.846

Clinical Causes: Twisting injuries or sudden rotations of the ankle Falls from a height landing on the ankle Sports injuries involving ankle trauma Motor vehicle accidents leading to ankle impact Direct blow to the ankle area

Key Symptoms: Pain around the ankle, especially when bearing weight Swelling and tenderness on the outer and inner sides of the ankle Bruising around the ankle region Difficulty or inability to walk or stand Visible deformity or abnormal positioning in severe cases Limited range of motion in the ankle joint

Diagnosis Path: Diagnosis typically involves a physical examination by a healthcare professional, who will assess pain, swelling, and deformity. Imaging studies, especially X-rays, are essential to confirm the presence of a fracture, determine if it is displaced or nondisplaced, and identify which malleoli are affected. Sometimes, advanced imaging like CT scans may be used for detailed assessment, especially if complex fracture patterns are suspected.

Treatment Protocols: The treatment approach depends on the severity and stability of the fracture. Since this is a nondisplaced fracture, conservative management is often sufficient. Typical treatments include: - Rest and immobilization using a cast or splint to keep the ankle stable - Elevation to reduce swelling - Use of ice packs to minimize pain and swelling - Nonsteroidal anti-inflammatory drugs (NSAIDs) for pain relief - Crutches or walker to avoid weight-bearing on the affected ankle In some cases, if the fracture is stable and properly aligned, surgery may not be necessary. However, if there's any concern about displacement or joint stability, surgical intervention like internal fixation with screws or plates might be recommended to secure the bones. Progressive weight-bearing and physical therapy are usually part of the rehabilitation process to restore strength and mobility after healing.