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Broken Ankle

WHAT YOU SHOULD KNOW

If you break one of the bones in your ankle, you're in for many weeks of discomfort and inconvenience. However, with the right treatment and care, you can expect a full recovery.

Causes

Common causes of ankle fractures include falls, car accidents, and sports injuries. They also can occur when you turn your ankle.

Signs/Symptoms

The fracture can be expected to cause pain, swelling, soreness, problems moving your leg and foot, weakness, numbness, tingling, and bruising.

Treatment

The doctor will take an x-ray of the break, set the bones in the correct position, and put a cast or splint around it to keep the bones from moving out of position. A bad or unusual break may require surgery and a period of recovery in the hospital.

WHAT YOU SHOULD DO

  • Use your crutches to keep your weight off of the ankle until your doctor says you can stop.
  • To lessen the swelling, raise your ankle above your heart. Keep the injured leg on pillows while lying down and on a stool when sitting.
  • Apply ice to the injury for 15 to 20 minutes each hour for the first 1 to 2 days. Put the ice in a plastic bag and place a thin towel between the bag of ice and your cast.
  • If you have a plaster or fiberglass cast:
    • Do not try to scratch the skin under the cast with a sharp or pointed object.
    • Check the skin around the cast every day. You may put lotion on any red or sore areas.
    • If your fiberglass cast gets a little wet, you can dry it with a hair dryer.
  • If you have a plaster splint:
    • Wear the splint until your doctor says you no longer need it or until you are seen for a follow-up examination.
    • You may loosen the elastic around the splint if you develop numbness or tingling in your toes.
  • Do not put pressure on any part of your cast or splint. It may break.
  • Keep your cast or splint dry. It can be protected during bathing with a plastic bag. Do not lower the cast or splint into water.
  • You may use over-the-counter medicines, such as acetaminophen or ibuprofen to relieve the pain. Take all medications exactly as directed by your doctor.

Call Your Doctor If...

  • You have continued severe pain or more swelling than you did before the cast was put on.

Seek Care Immediately If...

  • Your cast gets damaged or breaks.
  • Your skin or toenails below the injury turn blue or grey, or begin to feel cold or numb.
  • There is a bad smell from your cast.
  • There are new stains coming from under the cast.

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