ankle injuries

The ankle is a complex joint that connects the leg to the foot. It is made up of the tibia, fibula and talus. During normal gate and weight bearing, the ankle to weight ratio is under an extreme load due to the relatively small surface area of the talus and the tibia. Therefore, injuries such as a sprained or broken ankle, can result in severe pain with every step

ankle injuries – sprain and fracture

Flat Feet conditions are frequently encountered by our doctors at Certified Foot and Ankle Specialists, which may be painful or non-symptomatic in nature. Our goal is to give the patient stability and improved walking for any case of these types of deformities.

Adult Acquired Flatfoot Deformity – Posterior Tibial Tendonitis

Some flatfeet conditions come on at birth and others are acquired progressively later in life.  One of these acquired conditions is termed Adult Acquired Flatfoot deformity, which is sometimes referred to as Posterior Tibial Tendon Dysfunction or Posterior Tibial Tendonitis.

Adult-acquired flatfoot represents one of the most challenging clinical conditions facing the podiatric physician. With insights gained from recent biomechanical studies, doctors can more accurately design and target treatment strategies for a more positive patient outcome.

The ankle is a complex joint that connects the leg to the foot.  It is made up of the tibia, fibula and talus.  During normal gate and weight bearing, the ankle to weight ratio is under an extreme load due to the relatively small surface area of the talus and the tibia.  Therefore, injuries such as a sprained or broken ankle, can result in severe pain with every step

Sprained Ankle

An ankle sprain is the most common athletic injury.  It is also one of the most common reasons that patients visit an emergency room.  A sprain is an injury to a ligament, varying from stretching to completely tearing the ligament.  Ligaments connect bone to bone, usually around a joint and provide stability to the joint.  The most common ankle sprain results from twisting or rolling the ankle and occurs on the lateral or outside of the ankle involving the anterior talo fibular ligament, calcaneal fibular ligament and, less commonly in severe sprains, the posterior talo fibular ligament.

Sprained Ankle Treatment

Treatment for ankle sprains most often consists of immobilization and non-weight bearing.  If in severe cases in which instability results, surgical repair of the torn ligament may be indicated.  An MRI is helpful in determining the severity of an ankle sprain.

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Broken Ankle

A broken ankle, or ankle fracture, also occurs most often as a result of a twisting injury, but with greater force than that which causes a sprain.  Most often the bone on the outside of the ankle, the fibula is broken.  In more severe sprains the tibia may be broken as well, sometimes in more than one place.  The ligament that connects the fibula and tibia also tears in many ankle fractures.

Broken Ankle Treatment

Treatment of a broken ankle depends on the alignment of the fracture fragments as well as the inherent stability of the fracture pattern. If the bones are in good alignment and the joint is stable, cast immobilization with non-weight bearing is it acceptable form of treatment. However, if the broken bones are out of position and/or if the joint is unstable, surgical repair of the fracture is necessary. This is performed in the operating room where the foot and ankle surgeon will realign the fracture fragments and place plates and screws to hold them in position while they heal.
The outcomes of ankle fracture and sprain treatment options are typically very good, and most people return to full activity. Unfortunately, being a weight bearing joint, depending on the severity of the injury, some people will end up with arthritis down the road.

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