Ankle Injuries: Symptoms, Diagnosis, and Recovery - Orthopedics

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Left ankle injury?


A few days ago while playing basketball, I was standing still when I suddenly heard a popping sound from my ankle, followed by intense pain.
When I tried to squat, the tendon on the outer side of my left ankle seemed to move up, but after I pushed it back into place, it felt a bit better, and I could still walk.
That day, I visited an orthopedic doctor who said I should observe it for a month and mentioned that the membrane surrounding the ligament might have torn.
He advised that if it continues to be uncomfortable, I would need to return for surgery to stitch it up.
I found information online suggesting it might be related to an ankle support ligament, and some refer to it as a tendon subluxation.
I usually don’t feel pain when walking, but I cannot squat with my left foot, and in certain positions, that tendon tends to move up over the outer bone.
What could be the issue? I’m unsure if what the doctor said is correct, so I’m asking here.
If surgery is necessary, how long would the recovery take?

Yong, 30~39 year old female. Ask Date: 2018/04/17

Dr. Shi Guozheng reply Orthopedics


Tendon relocation surgery may take six weeks for recovery.

Reply Date: 2018/04/17

More Info


It sounds like you experienced a significant ankle injury while playing basketball, which can be quite common in sports. Based on your description, it seems that you may have suffered from a ligament injury, possibly involving the lateral ankle ligaments, which are crucial for stabilizing the ankle joint. Let's break down your concerns regarding symptoms, diagnosis, and recovery.


Symptoms
The "pop" sound you heard at the time of injury is often associated with ligament tears or ruptures. The pain you felt afterward, especially when trying to squat or perform certain movements, suggests that there may be instability in the ankle joint. The fact that you can walk without pain but experience discomfort during specific movements indicates that while you may not have a complete tear, there could be a partial tear or strain of the ligaments.


Diagnosis
The initial assessment by your orthopedic doctor is crucial. They mentioned that you should observe the injury for a month, which is a common approach for soft tissue injuries. Ligament injuries can sometimes heal on their own with proper rest, ice, compression, and elevation (RICE). However, if the pain persists or worsens, further imaging studies like an MRI may be necessary to evaluate the extent of the injury accurately. An MRI can provide detailed images of soft tissues, including ligaments, and help confirm whether there is a tear or other damage.


Recovery
If it turns out that you do require surgery, the recovery time can vary significantly based on the severity of the injury and the type of surgical procedure performed. Generally, if surgery is needed to repair a torn ligament, the recovery process can take anywhere from several weeks to several months. Post-surgery, rehabilitation will be essential to restore strength and stability to the ankle. This typically involves physical therapy focusing on range of motion, strength training, and proprioception exercises to help prevent future injuries.


Additional Considerations
1. Rest and Rehabilitation: Regardless of whether surgery is required, it's essential to give your ankle adequate rest. Engaging in rehabilitation exercises under the guidance of a physical therapist can help strengthen the surrounding muscles and improve stability.

2. Monitoring Symptoms: Keep track of any changes in your symptoms. If you notice increased swelling, pain, or instability, it’s crucial to follow up with your doctor sooner rather than later.

3. Preventive Measures: Once you recover, consider incorporating ankle-strengthening exercises and balance training into your routine to prevent future injuries. Wearing supportive footwear during sports and activities can also help protect your ankles.

4. Consulting Specialists: If you're uncertain about the diagnosis or treatment plan, seeking a second opinion from another orthopedic specialist or a sports medicine physician can provide additional insights.

In summary, while your injury may not be severe, it’s important to monitor your symptoms closely and follow your doctor's advice. If surgery is necessary, the recovery process will require patience and commitment to rehabilitation. Always prioritize your long-term health and functionality over a quick return to sports.

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