Ankle Problems

Trauma

The Foot and Ankle Center manages all aspects of Foot and Ankle Trauma.


Before
Ankle Fracture / Dislocation


After
Ankle Fracture / Dislocation

 
Before   


After 
Ankle Fracture / Dislocation


5th Metatarsal


Avulsion Fracture Post Repair 5th
Metatarsal Fracture (tension band)


5th Metatarsal


Shaft Fracture Post Repair 5th
Metatarsal Fracture


Before

 
After ORIF
Ankle Fracture with syndesmosis rupture



Notice talus postion in the ankle mortise
Before
Ankle and Rear Foot Dislocation

 

After Emergency Closed Reduction

Ankle/Rear Foot Dislocation


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Arthroscopic Ankle Surgery

For patients suffering with chronic ankle pains that have failed to be relieved with non- surgical means may be a candidate for an arthroscopic procedure. This procedure is performed in the hospital or surgery center. The procedure is done through two – three small incisions, at which time a camera is placed into the joint. We are able to explore the entire ankle joint through these small incisions and also repair small cartilage defects and remove inflamed tissue, adhesions or debris inside the ankle. The procedure is diagnostic and therapeutic (meaning that the problem can be directly visualized inside the joint if there was a question as to why the patient is having the pain and also the problem can be addressed/ treated at the same time). After the procedure, the patient will be advised non weight bearing on the ankle for 1-2 weeks depending on the repair required. Once the sutures are removed, full weight bearing is permitted. Most patients have full relief in 6 weeks and can resume sports in 8 weeks depending on the severity of the condition.

Before & After

Arthroscopic Removal of Scar Tissue/Synovitis of Ankle

Ankle Fusion Procedure
 
Post Ankle Fusion

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Ankle Sprain

More than 25,000 people sprain their ankles every day, according to the American Orthopaedic Foot and Ankle Society.

Ankle sprains are caused by an unnatural twisting or force on the ankle bones of the foot, often resulting in one or more ligaments on the outside of the ankle to be stretched or torn. If not properly treated, ankle sprains could develop into long-term problems. Treatment includes resting the ankle and applying ice to reduce swelling. Compressive bandages also may be used to immobilize and support the injury. More serious ankle sprains, particularly in competitive athletes, may require surgery to repair to tighten the ligaments.

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Chronic Lateral Ankle Pain

Chronic lateral ankle pain is recurring or chronic pain on the outside part of the ankle that often develops after an injury such as a sprained ankle. Other conditions, however, may also cause chronic ankle pain.
Signs and symptoms include:

  • Ankle instability.
  • Difficulty walking on uneven ground or in high heels.
  • Pain, sometimes intense, on the outer side of the ankle.
  • Repeated ankle sprains.
  • Stiffness.
  • Swelling.
  • Tenderness.

While ankle sprains are the most common cause of chronic lateral ankle pain, other causes may include:

  • A fracture in one of the bones that make up the ankle joint.
  • Arthritis of the ankle joint.
  • Inflammation of the joint lining.
  • Injury to the nerves that pass through the ankle. In this case, the nerves become stretched, torn, injured by a direct blow, or pinched under pressure.
  • Scar tissue in the ankle after a sprain. The scar tissue takes up space in the joint, putting pressure on the ligaments.
  • Torn or inflamed tendon.

Treatments for chronic lateral ankle pain include:

  • Over the counter or prescription anti-inflammatory medications to reduce swelling. Consult your physician before taking any medications.
  • Physical therapy, including tilt-board exercises, directed at strengthening the muscles, restoring range of motion, and increasing your perception of joint position.
  • Ankle braces or other supports.
  • Steroid medication.
  • Immobilization to allow the bone to heal (in cases of fractures).


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Ankle Stabilization Procedures

Some patients suffer from painful and unsteady ankles. This is usually the result of multiple ankle sprain injuries. The patient will relate symptoms of instability or feeling like they are going to sprain the ankle with each step. These conditions are generally amendable to bracing, orthotics, and physical therapy. Surgery is sometimes required to repair and tighten the torn and attenuated ligament band. This is performed through a small and cosmetically conscious incision. The procedure is performed as a same day procedure in the hospital or surgery center. After surgery, patients are casted immobilized for a few weeks and progress weight bearing by the 4th post of week depending on the severity of the condition and type of repair required. Patients may take several months to return to competitive sport activities. Athletes are advised to have the procedure in the early off season.

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Osteochondritis

Osteochondritis Dessicans are lesions that usually cause pain and stiffness of the ankle joint and affect all age groups. Often, Osteochondritis usually follow a twisting type injury to the ankle.

Osteochondritis may cause swelling and ankle pain. When immobilization of the injury doesn't alleviate the problem, surgery is sometimes prescribed. The procedure usually involves removing the loose fragment of cartilage and bone from the ankle joint and placing small drill holes in the defect. The drill holes stimulate new blood vessels to fill the area and help form scar tissue to fill the defect.

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