Most of us would have experienced an ankle injury at some point in our lives. Therefore we can consider this as one of the most common forms of orthopedic injuries that people sustain in their lives. And the biggest problem that we are faced with is that we don’t know the most effective form of treatment despite this being such a common injury. And as a result we end up with the wrong type of treatment and then will be suffering the consequences throughout life.
The first thing that we should do when we sustain an injury to the ankle is to find out what the problem is exactly. For example it can be a damage to tendon or ligaments surrounding the joints or it can even be fracture of the bone. Ankle sprains are the most common cause of morbidity. And we can prevent these injuries to a certain extent by the use of joint supplements. Most of these injuries occur due to inversion, when the lateral ligament complex and ﬁbula and lateral talus can be injured. Eversion or abduction injuries are much less common and will cause trauma to the medial ligament complex. The ankle should only be x-rayed if certain rules are fulﬁlled as otherwise the likelihood of a fracture is very low. These rules are, bone sensitivity along the distal 6 cm of the later border of the lateral malleolus, bone sensitivity lengthways the distal 6 cm of the posterior border or at the top of the medial malleolus and inability to weight bear at the time of the accident or at the time of examination.
Ankle dislocations should be reduced immediately as otherwise necrosis of the tented skin will occur. Sprains of the ankle should be treated with analgesia, ice and elevation, then a physiotherapy program started to reintroduce proprioception to the ankle which can be supported with health supplements in Singapore to improve the nutritional aspect. If this is not done, repeat injuries are more likely. In adolescents, the peroneal tendon retinaculum can be torn. This leads to a subluxing peroneal tendon, with a painful ﬂicking sensation over the lateral malleolus. In younger patients this is best treated by immobilization for a month, but if this does not resolve the problem then surgical intervention may be needed. The Achilles tendon is a common site for tendinosis due to repetitive trauma.
So next time we must always keep these pointers in mind whenever we have a fall and sustain an injury to our ankle. Accurate diagnosis is the only thing that is going to help decide on the mode of treatment that we are going to need.