Orthopedics :: Lateral Malleolus Fracture Of The Right Ankle
May 2, 2016
On 4/5/16 I fell and had an x ray. It showed a lateral malleolus fracture of the right ankle. Last week, Dr was concerned with the amount of swelling, bruising and pain. Therefore he scheduled me for an MRI this past Saturday. Results came back today but I don't see the dr again till 5/23. Debating on if I should wait till then to see my ortho or if I should try to get in sooner with someone else.
Mri says
Again identified are changes of a lateral malleolus fracture as identified on x-ray. With surrounding large amounts of edema, they are no definite ligamentous injury to be confirmed. Abundant fluid noted within the sinus tarsus and probable deltoid ligaments.
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I am just writing with the hope of getting some more help/assurance re the Gould brostrom (or as my letter has now pointed out Arthroscopic debridement and lateral ankle reconstruction - unsure if this is the same of different?) procedure which I am due to have in just over 2 weeks on the 22nd June.
I have been very unsure for a while now as to whether or not to go ahead with it but have decided to take the plunge, however I still have my doubts!
I injured my ankle initially around 5 years ago (ruptured ATFL showed up in MRI scan) and almost had the surgery back then, only to decide not to go ahead with it. Since then I have rolled over and sprained it on multiple occasions, and have felt it become increasingly weak to the point where I have very little confidence in its strength. When playing football I now wear lace up supports, which are strong enough to prevent the rolling, but obviously doesnt deal with the root cause and there is a still a feeling of achiness and limited movement. When not wearing my ankle supports I would say its at least a 50/50 chance I'm going to roll over on my ankle every time.
I can still run and go about my everyday life virtually without any issues (feel twinges but nothing major unless recently sprained) and the views of the consultants varied from the cautious 'maybe only have it if you're playing high level sport' ( which I'm not but just play football weekly for my local team), to saying yes I go for it as its clearly getting weaker and weaker and becoming more of a frustration.
I guess alongside asking for advice as to what to expect post op, I am also seeking assurance that by going ahead I am making the right decision (bearing in mind surgery is considered last resort and rehab process is lengthy).
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I'm after some advice, anecdotes etc. Two years ago I sprained my ankle quite badly and it never really healed. It has bothered me quite a lot since, particularly after walking and running but seven weeks ago I broke the head of the fibula on the other leg and the ankle has become very angry as a result of having to take almost all my weight for so many weeks.
I mentioned it to my orthopaedic consultant at my last appointment, was x-rayed and it was then explained that there is a two year old avulsion fracture there; the bone and ligament never reattached. As well as this, I also have sinus tarsi syndrome. The ankle is very painful and unstable and he strongly recommends a repair. I have a podiatrist friend who suggests strapping, rehab and a steroid injection.
Has anyone had anything similar and what route did you go down with what result?
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I'm a 42 year old female. Six weeks ago I was climbing ropes at the gym and dropped down from 4-6 feet onto a piece of excess rope resting on the ground. My ankle rolled and pain and swelling occurred immediately. Being a stubborn woman, I walked it off until the swelling started spilling over my shoe.
Got an X-ray from the orthopedic who said nothing was broken.
I was on crutches for 2 weeks and still in an air cast boot when I'm on uneven ground or working out. My workouts are modified (rowing, 12" box steps, shoulder work, cleans)and ankle swells 4x the size afterwards.
My current problem/question is this: Saturday I walked without the book (tennis shoes) on a flat surface and was very careful not to twist/turn or injure the ankle. Of course, it swelled 4x the size, as it always does each afternoon.
However, pain woke me up in the middle of the night/early the next morning. I couldn't put any weight on the foot and experienced severe pain over my medial ankle bone. It was extremely tender to the touch and any movement caused sharp pain.
One day later, it's sore but the severe pain is gone.
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I broke my leg on the 21st September 2013, and it has now been broken for 15 weeks! I have a spiral fracture to the right tibia, and the doctors decided not to operate. I had a full leg cast for the first 8 weeks, and then went onto a half leg cast, fully weight baring! At first I could only put some of my weight through the bone, and would rely mostly on my crutches, but recently I have been able to hobble around with using no crutches at all - I only do this when i'm inside my house as I would still not rely on my bone fully to steady me. But in the last week or so, it has started to ache more, and it had completely stopped hurting before I am scared that I have put to much weight through it and damaged it again! The pain isn't that bad, it comes and goes and i only take paracetamol to make the ache go away, but it really is worrying me! I don't yet know when my cast is due off as apparently the doctors said my bone will take 4 to 4 and a half months to heal, but by my x rays he said it could be a little earlier! I am a 19 year old girl at university, doing a practical drama degree, so as you can imagine this has been a nightmare for me & I was so hoping I was nearing the end! It seems ever lasting! I'm just wondering if this pain that i'm experiencing now is normal, or if i have possibly done something to damage the break again! I am just panicking because i so want this to be over now i've come 15 weeks and i don't want to go back to square 1
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I was having a scaphoid fracture, and already have my hand on support for 2 weeks, now i can bend my wrist 45 degree without pain, but i can't bend it 90 degree, it doesn't hurt but i just feel can't, like it's fixed, can i start weightlifting and futsal again now ? Of course with wearing support.
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Last February 11, 2014, I fractured my leg (distal tibia and fibula). My doctor calls it Pilon Fracture. Spiral comminuted fracture of the distal tibia and fibula involving the articulations.
February 15, 2014, I went through MIPO (minimally invasive plate osteosynthesis). 4 weeks(March 11) after the operation, my doctor advised me to put some weight on it and so I did. 4 weeks(April 11) later, I had an xray and it appears like nothing's changed from my 1st x ray 4 weeks ago. I tried to put more weight on it but surprisingly, it doesn't hurt nor caused me any discomfort.
How long does a distal tibia and fibula fracture that went through MIPO heal? Exactly when would I walk again without my crutches?!
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I was in an auto accident in March 2012. One of my many injuries was a crushed ankle and compound fracture of the tibia. I have a plate, several screws, and a rod or 'nail' in my right leg. On my last checkup I was told that the steel rod in my leg was broken. I am wondering if anyone has ever heard of this happening?
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I had fractured my ankle in July this year. Had it in plaster for six weeks, had a review with consultant yesterday. Had another x ray and consultant confirmed the bone had healed,but I explained to him that I my ankle keeps swelling and is painful. Can't walk very far and he said it could be the soft tissue area may have fragments of cartilage init, but because I have a pacemaker can't have a MRI scan. He has told me to come back in 3 months time.I have to have physiotherapy . what do i do if it keeps on swelling.
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I sustained a calcaneus heel fracture on 1/10/2015 in a mountain biking accident. I fell off a ledge and tried to catch my fall with my foot. Landed on concrete and twisted my ankle in the process. I had surgery on 1/21/15 and have two screws in my heel and a plate and two screws on the side of my ankle. Two weeks after surgery (four days ago), I lost my balance and fell forward and caught my fall with the ball of my foot (I was in a boot). My foot is so stiff that it will not lay flat on the ground. My heel started hurting a few hours afterwards and the next day. It felt better Wednesday and i did some stretches to my foot. Now it is hurting again today. I wonder if anyone else has had this experience? Do you think it is a stiff tendon (plantar fasciitis) that I just pulled or do you think I could have done damage to my heel? I didn't land on my heel, but I feel a dull ache at the bottom of it now.
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I am 51, broke my left ankle on a hiking trip on Friday, had a surgery on Sunday night.
Generally things are getting better : much less pain, can wiggle my toes, but there is a persistent numbness on top side of big toe and second toe.
Looks like it might be some post-op nerve damage, because it is not getting worse and does not affect the mobility of toes. Decided not to go to emerg, that would mean sitting there for 6 hours before any doc will come to see me. But if it would become worse, then I would go.
Also : feeling very unsafe with crutches, in particular when home alone. Using a portable wheelchair instead for the trips to the bathroom, getting food from the kitchen, etc.
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Dec 2012 I broke my fibula in 1 place, my tibia in 2 and shattered my ankle.
I have had 2 surgeries and currently have one 10 inch plate, one 12 inch plate and 19 screws in my leg.
I realize I am only 9 months into recovery. My surgeon and pain management dr both have said the typical recovery is 18months to 2years or longer.
My question is this.. can the screws become infected or have issue at this point in recovery? While the majority of the pain is obviously deep bone pain, I have no feeling on half my leg and the other side the nerves go crazy and fire at random times.
However the last month I am feeling this weird pressure high up on the tibia plate where 4 screws are located. It is definitely warmer than the rest of the area and a small swollen area.
I still have major issues walking and stretching, but the last few weeks the largest area of discomfort (besides the ankle which is always there) is high up on the tibia where I mentioned.
I saw my surgeon two days ago and he said x rays did not show any issue with hardware and it is probably just my bone and muscle getting used to walking again.
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I broke my heel 54 days ago, felling down from 2nd floor. I am really nervous & worried about... Doctor told me you need to keep cast for 60 days (or 8 weeks) 2 weeks ago I had 2nd x-ray, it was 40th day of fracture... I smoke, as you know it makes bone recovery period longer....On my X-ray heel didn't look like recovered....bones were darker color, fracture place still lighter, but doctor said its fine & you can put weight on that foot and come back after 2 weeks, we will take off cast and put on some kinda fixing boot. However, neither 2 weeks ago, not now I can put weight on it. It hurts so bad....I don't know what to do, do what doctor says, or listen my pain? I want to know if its normal to feel such bad pain whilst doctor say your bone is okay? and how come it's okay, if on my X-ray even I can see its not okay.
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Right, so i fell from a stairs which is at least 5-6 foot high and i have no idea how i landed on my heel first but i probably did as it's the only place where it hurts. I Can move my foot, rotate it and bend it and everything but i can't bear weight. The pain is not really in the middle of the heel but more to the left (Right foot). I can walk but i limp and i usually use the right side of my foot to bear weight and the part where it hurts is elevated a little so it looks kinda funny. Did i fractured my heel bone or is this just a sprain? It doesn't hurt when i'm resting, slightly pressing it but it hurts when i try walking using my heel. It has been more than 48 hours and I don't see any noticeable bruising or swelling as well.
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I'm in so much pain there is no space under my patella my knee is very swollen. Walking is getting increasingly difficult let alone the stairs. I have been referred to a surgeon who has offered me to either have a lateral release or partial knee replacement. I am very confused I thought I might go for the lateral as less invasive as at 44 I'm not sure whether to go down the knee replacement route yet. I would welcome your response to either of these procedures and any suggestions as to which to have?
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When my husband was two years old, his testicular sac was full of fluid and was not draining so the doctor did a bilateral hernia repair. After being looked at he was told that he could not have kids due to the repair. Is it possible to get pregnant using some type of sperm extraction techniques...?
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I had ankle surgery to repair my medial malleolus back on May 8. It was fairly routine--just 2 screws. I was in a cast for a week, then was put into a boot but told to treat it like a cast--NO weight bearing for 7 weeks, keep the boot on 24/7 unless in the bathtub. I followed directions religiously.
I did notice that when I pressed on certain areas of the foot, I would feel a sharp pain. This occurred in the heel (from the bottom), toes (again, from the bottom, primarily the foot pad below the pinky, second, and 4th toes). When I asked the doctor about this, he said (around week 5) that it was just because I hadn't been using the foot.
The problem persisted, and this week, week 7, I was cleared to start partial weight-bearing--walking in the boot while taking approximately 1/2 the weight off my foot via the crutches. I don't have ankle pain to speak of (or at least, not often and only if I overdo it), but I have terrible shooting pains in my heel and toes as I step. It's OK if I take most of the weight on the crutches, but as soon as I go to more than just a little weight on the boot, the pain starts.
This week I also started PT and the therapist told me this is nerve pain--not uncommon after surgery (don't know why the doctor couldn't have told me this, but OK). I couldn't get much of an idea from her how long this will persist or if there is anything I can do about it.
I'm doing my ankle and leg exercises (those are mostly non-weightbearing at this point) and they are going great. The ankle is clearly healing well. But I don't see how I can progress to full weight bearing (supposed to try that next week!) when much more than a little pressure on the foot results in this nerve pain!
Help! Does anyone have experience with this? Is there anything I can do to speed things along? I need to return to my second job (barefoot hoof trimming for horses--how I broke the ankle!) ASAP and I'm fearful this will slow my progress to a crawl! The doctor is useless.
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I've had 4 procedures on my ankle to remove bone spurs from the front of the joint and to microfracture an OCD.
The first procedure didn't get all of the bone spur removed and I lost 6 months doing PT and then had to have another procedure at the NYC HSS to correct the issues and I also had the stem cells to regenerate the cartilage.
All of the repairs to the ankle went well and the stems regenerated the cartilage based on the 6 month follow up MRI.
I never regained my dorsiflexion. I am stuck at about 2 degrees.
I then had a gastroc release where they told me they got over 10 degrees during the surgery but I was unable to retain it after the PT started.
I then had a debridement to remove scar tissue from the front of the ankle where they we able to get about 16 degrees during the surgery, but the scar tissue once again re-formed and I stuck back at the 2-3 degrees.
I am currently still working hard on PT and have ART and GRASTON done 2x per week.
Has anyone had any luck in finding a surgeon or technique that helps permanently remove the scar tissue to regain ROM?
I'm also a candidate to wear the ankle distraction device where the device is supposed to be able to re-distribute my existing dorsiflexion and plantarflexion to give me enough of each to walk with a normal gait.
I am currently trying to weigh my (limited) options as after 20 months I'm tired of walking with a limp!
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I'm 34. I had a left ankle reconstruction for instability with a ligament repair and arthroscopy in July 2015.
My recovery has been slow due to hip operations around the same time. My ankle has healed well however the range of motion is still below neutral for dorsiflexion though it's improving.
I still have loud cracking on the outside (lateral) aspect of my ankle where the ligaments were repaired. It's terribly painful and my ankle swells straight away each time. It usually occurs with shifting my weight. My ankle surgeon says it's scar tissue breaking down but is it usually accompanied by a loud painful crack in the same area each time. I'm worried it's not ok.
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I posted a few wks ago I fell down a step at work and rolled my ankle, pain was excruciating at the time I went to a&e and x ray was clear, went back after five weeks and xray clear again, I had an Mrs Saturday after 6.5 weeks and it shows a fracture of the fifth and second metatarsal, waiting for mri report to go to a&e, should have it later, worried that I have done further damage, will they cast it now or is it too late
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last year on 30th November I had an accident and resulted my right leg both bones tibia and fibula are broken “ just above the 5 inches from the ankle”. I went to a hospital which is located to near my home and met doctor , after watching my x ray doctor said its a compound fracture nd asked me to have an road fitment surgery. As me and my family was not having any experience about any fracture so my parents decided to meet more doctors for consultation.
They forwarded my x ray to some more doctors and one of my relatives references 1 doctor replied in this case we don’t need to have an surgery. Me and my family was believing into that if Doctor is saying there is no need for surgery then why should go for surgery by our self.
We followed this doctor , and he treated my leg with the help of “C ARM Machine” technique and the given alignment treatment to my broken leg by pressing hard by his hands many time . he casted my leg fully with the plaster and asked me to meet after 2 months.
After 45 days of my accident i went to that hospital which is located to near my home for x ray , suddenly that doctor( who suggested me road surgery) came in front of me and i met him and shown my latest x ray. He replied i asked you to have an road fitment surgery ,now as per your x ray your bones alignment is done properly, may be your leg can fall on land wrongly and may be i cant walk in right shape like before and may be will give you pain for long time also. He asked me i still can go for surgery...he made me confused fully......i hate this
I was worried....after 2 months ..i met my doctor again and told him everything and said some other doctor is saying this....he have seen my latest x ray( 2 months xray) and replied everything is perfect , there is only little angle difference and that may not result you all these things ....its acceptable. He said that doctor is misguiding you and want to make money through surgery only. There is no need for surgery that's why i did this best treatment for u, even your bones alignment is almost about 85 % and it cant be more better than this through this manual process treatment.
I was panic thats why very next day i went back that hospital’s doctor and asked him to do road fitment surgery and shown my 2 months x ray , this time he taken his step back nd replied its 2 months passed already now don’t go for surgery it may not give that much of good results as my fibula bone is already healed. He said there are few chances only ...or may be everything will be alright also......he made me so confused....i hate this......
So i trusted again my old doctor nd decided to follow him nd next day went back to him...he cutted my old full leg plaster fully and casted new plaster till my knee only...he asked me to move my knee slowly slowly by using sitting on chair, he told me i will feel some pain because my knee is not in working mode for past 2 months...he asked me if i want to walk then i can use crutches by pushing my broken leg little up.
Now 15 more days has passed ...totally 10 weeks ..........i don’t know whats going ...i am trying to move my knee by some exercise nd it was paining in the starting .....but slowly slowly its moving better nd pains little when i start exercise for first 5 minutes only .
Still i am worried internally ....i want my leg as before ...don't want to walk in any wrong shape...i just recently got married nd having my full life ahead.....kindly tell me how much more time it will take to heal completely...and when i will be start walking normally....plz give your comments about alignments of my bones also...i m attaching my 2 month x ray pic in my profile , want to attach in the main body but not able find this option
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