Foot and Ankle Fractures
A fracture is a break or crack in a bone. Fractures may range from small stress fractures to complete breaks. Stress fractures are tiny cracks caused by repetitive impact and are common in runners, dancers, athletes, and people who suddenly increase activity. Acute fractures occur from a specific injury such as a fall, collision, or twisting event. Ankle fractures may involve the fibula, tibia, or talus and can occur along with ligament damage. Jones fractures affect the base of the fifth metatarsal and may be slower to heal.
Foot and Ankle Sprains
A sprain is an injury to a ligament, the strong tissue that supports a joint. Ankle sprains often occur when the ankle rolls or twists beyond its normal range of motion. Mild sprains stretch the ligament, moderate sprains partially tear it, and severe sprains can involve a complete tear and instability.
Symptoms
Symptoms can include pain, swelling, bruising, tenderness, difficulty bearing weight, instability, stiffness, and pain with motion. Because fractures and sprains can overlap in symptoms, imaging may be needed to confirm the diagnosis.
Diagnosis
Dr. Suh evaluates the injury mechanism, location of pain, swelling, bruising, stability, range of motion, and weight-bearing ability. X-rays, MRI, or ultrasound may be used to assess bone and soft-tissue damage.
Treatment at DFW Foot and Ankle
Treatment may include RICE therapy, immobilization with a brace, splint, cast, or walking boot, protected weight bearing with crutches, custom orthotics, MLS laser therapy, physical therapy, and gradual return-to-activity guidance. Surgery may be needed for displaced fractures, unstable ankle fractures, or complete ligament tears that do not heal properly.
Why Proper Care Matters
Walking on an untreated fracture or returning to activity too soon after a sprain can worsen the injury. Untreated sprains can also lead to chronic ankle instability and repeated injuries.
Frequently Asked Questions
How do I know if it is a sprain or fracture?
You may not be able to tell without imaging. Persistent pain, swelling, bruising, or inability to bear weight should be evaluated.
Do all fractures need a cast?
No. Treatment depends on the location, severity, stability, and healing needs of the fracture.
How long does a sprain take to heal?
Mild sprains may improve within weeks, while severe sprains can take months and may require rehabilitation.