Ankle Injuries

History

  • Pain on weight bearing and moving their ankle
  • Swelling and tenderness anterior to lateral malleolus
  • Effusion of blood (haematoma) with bruising and skin discolouration around and distal to the injury
  • Ankle sprain may be accompanied by an audible snap, crack or tear, which, although often of great concern to the athlete and onlookers, has no particular diagnostic significance

Examination

  • Assess the degree of instability present and the grade of ligamentous instability
  • Palpate for bony tenderness
  • Investigations
  • X-ray
  • CT, MRI or bone scan if persistent pain and disability despite appropriate treatment for four-six weeks.

Management

  • Restricted weight bearing
  • RICER regimen initially