Avulsion Fractures of the Ankle

Avulsion Fractures of the Ankle

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What is Avulsion Fractures of the Ankle?

  • An avulsion fracture of the ankle occurs when a fragment of bone is pulled away by a tendon or ligament, typically due to a high-impact trauma or repetitive stress. These fractures are common in the lateral aspect of the ankle and can cause significant pain and swelling, often resembling a severe sprain. Proper diagnosis and treatment are crucial to prevent long-term disability.

    • Avulsion Fractures of the Ankle Statistics

  • Avulsion fractures account for 5-6% of all fractures. Fifth metatarsal fractures have an incidence of 67 per 100,000 annually. Source

    • Avulsion Fractures of the Ankle Anatomy

  • Common sites: lateral aspect of the ankle, 5th metatarsal.
  • Involves tendons like Peroneus Brevis and Tertius.
  • Mechanism: High traction forces during an inversion injury.

    • Avulsion Fractures of the Ankle
    Signs & Symptoms

  • Immediate pain and swelling post-injury.
  • Difficulty in weight-bearing and walking.
  • Localized tenderness over the fracture site.

    • Causes of Avulsion Fractures of the Ankle

  • High-impact trauma.
  • Repetitive stress or twisting injury to the ankle.
  • Inversion of the foot generating tension at the fracture site.

    • Risk Factors for Avulsion Fractures of the Ankle

  • Sports activities that involve twisting motions.
  • Previous ankle sprains or injuries.
  • Weak ankle ligaments.

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    From Avulsion Fractures of the Ankle to full ACL reconstruction rehabilitation; we’ve got you covered.

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    Prevalence of Avulsion Fractures of the Ankle

  • 5-6% of all fractures in primary care settings.
  • 67 per 100,000 annual incidence for fifth metatarsal fractures.

    • Assessment & Diagnosis of Avulsion Fractures of the Ankle

  • X-rays for initial assessment.
  • MRI or CT scans for detailed imaging.
  • Use Ottawa Ankle Rules for clinical evaluation.

    • Rehabilitation & Physiotherapy for Avulsion Fractures of the Ankle

  • Rehabilitation in 3 phases: acute, recovery, and functional.
  • Focus on pain management, strengthening, and restoring function.
  • Exercise plans should be individualized based on recovery stage.

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    Avulsion Fractures of the Ankle FAQs

    Recovery usually takes 6-8 weeks with proper treatment and rehabilitation.

    Walking may be difficult initially; crutches are recommended to avoid weight-bearing until healing begins.

    Treatment often includes immobilization with a boot or cast, followed by physiotherapy to restore function.

    Avulsion Fractures of the Ankle References

  • McCoy JS, Nelson R. Avulsion Fractures. StatPearls
  • Cluett J. Avulsion Fracture Causes and Treatments
  • Foot Health Facts. Fractures of the Fifth Metatarsal

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