![]() Surgery is not usually required for a stable fracture. Taping and/or an ankle brace may be used when returning to activities that require a change of support, especially for those with unstable ankles. Rehabilitation exercises are similar to that of a sprained ankle. If there is a lot of soft tissue swelling over the lateral malleolus, but no fracture, then there has been a ligamentous injury. The AP and lateral views from an ankle x-ray will almost always allow detection of a lateral malleolar fracture. Graded exposure to impact activities and return to play protocols if you wish to return to sport. It is worth noting that fractures may be invisible on one projection. This involves strengthening and mobility exercises of the foot and ankle. Upon removal of the boot, rehabilitation can last for 4-6 weeks. Historically a cast was used, but the walker boot allows for greater function and equivalent healing response.ĭuring this period, Physical Therapy can begin to maintain the mobility of the surrounding tissues, such as the Calf, Peroneal, and Posterior Tibialis muscles. Lateral Malleolus Fracture Conservative TreatmentĪ stable Lateral Malleolus Fracture is usually managed with 4-6 weeks in a walker boot. A study of 123 patients with lateral and mortise x-ray views are 95% accurate in diagnosing ankle fractures as anteroposterior, lateral and mortise views. An x-ray is the primary imaging model, but if this returns, as usual, a referral for an MRI or Ct Scan may be required. The only sign of injury on frontal projection is soft tissue swelling over the lateral malleolus. If a tillaux or triplane fracture is suspected, discuss with orthopaedics for need to order a CT. This is usually followed by imaging to rule out other conditions and to confirm the diagnosis. Here the fracture is seen only on lateral radiograph. AP, lateral and mortise views of the ankle should be ordered. A clinical examination will often involve a hop test and tap test. A clinical interview of your symptoms alongside a clinical examination can often be sufficient to achieve a diagnosis for your therapist. A consultation with a Physical Therapist, Podiatrist, or Sports Medicine Doctor is recommended if you have any of the symptoms of a Lateral Malleolus Fracture. PMID: 36217982 DOI: 10.
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