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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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

How long does it take to recover from an ankle avulsion fracture?

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

Can you walk on an avulsion fracture?

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

What is the best treatment for an avulsion fracture?

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