An ankle fracture is a break in one or more bones that form the ankle joint, affecting stability and making walking difficult. The ankle joint includes the tibia and fibula of the lower leg, along with the talus in the foot. Ankle fractures are among the common fractures of the lower limb and can range from small cracks to serious breaks involving several bones. Common causes include twisting the ankle during a fall, landing awkwardly, or experiencing a direct impact. Symptoms often include pain, swelling, and difficulty bearing weight. Some fractures cause visible deformity, while others may resemble a severe ankle sprain. Prompt podiatric evaluation is important to prevent further damage and support proper healing.
Ankle fractures are classified according to the bones involved, the location of the break, and whether the injury affects joint stability. Two commonly used classification systems are the Danis-Weber system and the Lauge-Hansen system. The Danis-Weber system categorizes fibula fractures based on their position relative to a ligament structure that connects the tibia and fibula. Type A fractures occur below this structure, type B fractures occur at its level, and type C fractures occur above it. The Lauge-Hansen system describes injury patterns based on the foot position and the direction of the force that caused the fracture. These systems help podiatrists understand injury severity and guide treatment decisions. X-rays are commonly used to identify the break and assess alignment.
Several factors increase the risk of an ankle fracture, including sports injuries, slippery surfaces, and falls from heights. Osteoporosis weakens bones, making fractures more likely after relatively minor trauma. Previous ankle injuries and activities involving sudden changes in direction may also increase risk. Treatment depends on the fracture pattern and whether the bones remain properly aligned. Stable fractures may be treated with a walking boot or cast, while displaced or unstable fractures may require surgery. Until evaluated, avoid putting weight on the injured ankle and keep it supported. Severe pain, an open wound, or a foot that becomes cold or numb requires urgent medical attention.
A podiatrist assesses an ankle injury, examines tenderness and swelling, and orders imaging to confirm a suspected fracture. After reviewing the results, the podiatrist determines whether immobilization or surgical evaluation is needed. Treatment may include a cast or boot to protect the bones while they heal, along with follow-up examinations and repeat imaging to monitor alignment. Following weight-bearing instructions is essential because returning to normal activity too soon can delay healing. If you have fractured your ankle or suspect a break, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.
Broken ankles need immediate treatment. If you are seeking treatment, contact Jason Bell, DPM from Advantage Foot and Ankle Center . Our doctor can provide the care you need to keep you pain-free and on your feet.
Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.
When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.
Symptoms of a Fractured Ankle
- Excessive pain when the area is touched or when any pressure is placed on the ankle
- Swelling around the area
- Bruising of the area
- Area appears to be deformed
If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.
If you have any questions, please feel free to contact our office located in Newark, DE . We offer the newest diagnostic and treatment technologies for all your foot care needs.
