Ankle fracture

An ankle fracture is a break in one or more bones around the ankle joint. It commonly affects the bony bumps on the inside or outside of the ankle, known as the medial and lateral malleoli. The back of the shin bone at the ankle joint can also fracture. Some fractures remain stable, while others allow the joint to move out of position.

What is an ankle fracture?

An ankle fracture is a break in one or more bones around the ankle joint. It commonly affects the bony bumps on the inside or outside of the ankle, known as the medial and lateral malleoli. The back of the shin bone at the ankle joint can also fracture. Some fractures remain stable, while others allow the joint to move out of position.

What causes it?

There may be more than one reason why this develops. Possible causes or contributing factors include:

  • Twisting the ankle with enough force to break a bone
  • A direct blow, such as a tackle during sport
  • A fall
  • Jumping and landing awkwardly

 

What are the symptoms?

Everyone experiences symptoms differently, but you may notice:

  • Severe pain and difficulty or inability to walk
  • Rapid swelling
  • A cracking sound at the time of injury
  • The ankle appearing out of shape
  • In a severe fracture, a wound with bone visible through the skin

If bone is visible through the skin, this is a medical emergency. Call 999 or go to your nearest Accident & Emergency department immediately.

 

How is it diagnosed?

Your ankle will be examined and X-rayed to confirm the fracture and assess the position of the bones. A CT scan may be arranged for a more detailed view of a complex injury.

We’ll explain any tests clearly and talk you through the results, so you understand what they mean for you.

How is it treated?

Treatment depends on which bones are broken, whether the ankle is stable and whether the joint remains in the correct position. Together, we’ll build a plan around your needs, your recovery and the activities that matter most to you.

  • A plaster cast or supportive boot
  • Crutches to keep weight off the foot
  • Pain relief or anti-inflammatory medicine, if advised
  • Follow-up X-rays to check that the bones remain in position
  • Physiotherapy as healing progresses

Your consultant will help you understand which options may be right for you and when your progress should be reviewed.

 

Recovery goals after treatment for ankle fracture

Phase 1

Early recovery

Protect the fracture Manage pain and swelling Move safely without placing too much weight through the ankle

Phase 2

As your symptoms improve

Restore ankle movement when advised Begin rebuilding strength Return gradually to normal walking

Phase 3

Returning to full activity

Return to exercise or sport Regain balance and confidence Reduce the risk of stiffness or further injury

Working with professionals and teams

Our consultants support professional athletes, sports teams and active individuals with the assessment and treatment of meniscus injuries. Working closely with physiotherapists, strength and conditioning specialists and the wider care team, they develop personalised treatment plans that support a safe return to sport or everyday activities.

 

The same specialist expertise and collaborative approach are available to every patient, whatever your activity level or goals.

 

Working with professionals and teams

How to pay

We offer flexible options depending on how you choose to access care at Fortius. Whichever option you choose, we’ll help make the process clear and straightforward from the start.

Private medical insurance

Private medical insurance

If your care is covered by private medical insurance, we’ll usually invoice your insurer directly. Please check your policy in advance and request an authorisation code if your insurer requires one. You’ll be responsible for paying any policy excess or costs that aren’t covered by your insurance.

Paying for yourself

Paying for yourself

You don’t need private medical insurance to access care at Fortius. If you’re paying for your own treatment, our team will explain the costs clearly and provide a personalised quote before you decide whether to go ahead.

 

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