When the foot is twisted, the soft tissues can tear or the bones can break or both. Since the ankle joint is so tightly fitted together, even a displacement of the bones by as little as 1 mm can cause a significant increase in the abnormal forces across the joint, eventually leading to arthritis. When the bones break, swelling and instability occur. Ice, elevation and support are the initial steps. The definitive treatment is based on the fracture pattern and the degree of displacement. Early accurate reduction of the fracture and support with a splint or surgical plates and screws are extremely important. X-rays, MRI and CT scans are used to define the fracture patterns. Accuracy in diagnosis and treatment are the key to a successful outcome.
Calm, happy patients make calmer, happier surgeons. It adds up to better outcomes. Though it’s hard to prove, the more the patient helps the surgeon relax, the better the surgeon perceives the patient and the job ahead. I know, having been both the surgeon and the patient.
When tissues are injured, a cascade of events occurs. These include inflammation and the release of chemical signals to recruit new cells. Some of these cells remove damaged tissue, while others form collagen: the fibrous material that makes up skin, bones, muscles, and all connective tissue.