Ruth Ann Cooper, D.P.M

Mistaking an ankle fracture for an ankle sprain has serious consequences when the bone does not heal correctly. A correct diagnosis ensures proper recovery and reduces long-term complications.

An ankle fracture involves a crack or break in the bones that form the ankle joint. A sprain involves a ligament or ligaments that hold the ankle bones together. Both injuries can occur simultaneously when the ankle moves beyond its normal range of motion or in an awkward position, but a fracture requires more complex treatment than a sprain.

Pain or inability to walk are good tests to determine if an ankle injury is a sprain or fracture because walking is still possible with less severe injuries. Telltale signs of a fracture include bruising, blisters, significant swelling or bone protruding through the skin. In addition to bone, ankle fractures can also involve cartilage surrounding the bones.

Those with unrecognized ankle fractures have a high risk of developing infection, arthritis and foot deformities that may make it impossible to walk normally again. Among those at highest risk for ankle fractures are postmenopausal women ages 50 to 70 with osteoporosis.

If you have suffered an ankle injury and are not sure if it is a fracture or a sprain, call my office to schedule an evaluation.