Ankle Fractures in Children

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Ankle Fractures in Children: Symptoms, Treatment, and Recovery Process

Contents

What is an Ankle Fracture in Children?

An ankle fracture in children is a fissure or complete fracture in one or more of the bones that make up the ankle (tibia, fibula, talus)…

How Does an Ankle Fracture Occur in Children?

Ankle fractures in children usually occur after active movements and accidents. Common causes include:

  • Falling or twisting the ankle while playing sports
  • Jumping from stairs or high places
  • Direct impact
  • Landing unevenly while jumping

What Are the Symptoms of an Ankle Fracture in Children?

Some obvious symptoms that parents may notice include:

  • Sudden and severe pain in the ankle
  • Swelling and bruising
  • Inability to put weight on the foot or limping
  • Limited movement
  • Deformity (in advanced fractures)

Diagnosis and Imaging Methods for Ankle Fractures in Children

Accurate diagnosis is very important for both the current and future health of the child. Diagnostic methods used include:

  • X-ray: Shows the location and severity of the fracture.
  • MRI: May be used in adolescents to check for ligament damage.
  • CT: Rarely used due to radiation but provides detail in intra-articular fractures.

How Are Ankle Fractures Treated in Children?

Minor fractures

  • A cast or splint may be applied.
  • Immobilization for 3–6 weeks is often sufficient.

Displaced fractures

  • Closed reduction may be needed under general anesthesia.

Severe and Comminuted Fractures

  • Surgical intervention may be necessary, especially for growth plate involvement.

Recovery Process and Rehabilitation

  • Cast duration: 4–6 weeks
  • Physical therapy: Rarely needed but may help with strength and balance.
  • Return to activity: Usually within 8–12 weeks

What Should Parents Pay Attention to?

  • Watch for signs like redness, bad odor, or increasing pain in the cast area.
  • Ensure the child avoids putting weight on the injured foot.
  • Support with a nutritious diet (calcium, vitamin D).
  • Resume physical activities only under medical advice.

Frequently Asked Questions About Ankle Fractures in Children

How long does it take for ankle fractures in children to heal?

Usually 4–6 weeks in a cast, with full activity possible by 8–12 weeks.

Are ankle fractures dangerous in children?

Generally curable, but can affect growth plates. Early intervention ensures proper healing.

Do ankle fractures recur in children?

Not usually, unless there’s early weight-bearing or inadequate healing.

What happens if the growth plate is affected?

It can cause leg length discrepancy or deformities. Early diagnosis is key.

Can children walk immediately after the cast is removed?

No, gradual rehabilitation and muscle strengthening are needed.

Conclusion and Recommendations

Ankle fractures in children can be completely healed with early diagnosis and appropriate treatment.

  • If your child shows symptoms after a fall, consult a pediatric orthopedist immediately.
  • Parental awareness is vital for both physical and emotional recovery.