Ankle Injuries: Treatment and Recovery After a Car Accident - Surgery

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Left ankle abrasion from a car accident?


Four days ago, I was in a car accident and sustained minor abrasions on my left arm and right knee, which are almost scabbed over.
However, my left ankle is more severely injured.
I noticed that the area around the ankle is a light red color, but the wound near the bone appears dark.
What could that be? Does it need to be cleaned out? Additionally, the entire top of my foot is swollen; is that edema? What can I do to reduce the swelling? When changing the dressing at home, should I vigorously scrub the wound with saline solution, or is it sufficient to lightly disinfect the surface of the wound?

Bai, 10~19 year old female. Ask Date: 2022/03/19

Dr. Li Zhonghuai reply Surgery


Hello! Based on your description, it seems that the wound may have necrosis due to contusion, and there could be a hematoma or an infection causing the swelling.
It is advisable to visit a hospital to determine if debridement is necessary.
Take care! Changhua Hospital is concerned about you.

Reply Date: 2022/03/19

More Info


After a car accident, ankle injuries can be quite common, and it's important to address them properly to ensure a full recovery. Based on your description, it seems you have sustained an injury to your left ankle, which is exhibiting signs of bruising and swelling. Let's break down your concerns and provide some guidance on treatment and recovery.


Understanding Your Symptoms
1. Black Area on the Bone: The dark coloration you see around the bone area of your ankle could be indicative of a bruise or hematoma. This occurs when blood vessels are damaged, leading to bleeding under the skin. The color change is a normal part of the healing process as the body reabsorbs the blood. However, if the area is painful, swollen, or shows signs of infection (such as increased redness, warmth, or discharge), it would be wise to consult a healthcare professional.

2. Swelling: The swelling in your ankle is likely due to inflammation, which is a natural response to injury. This can also be exacerbated by fluid accumulation, known as edema. Elevating your ankle, applying ice, and resting can help reduce swelling.

Treatment Recommendations
1. Wound Care: For the wound care, it is essential to keep the area clean to prevent infection. You do not need to scrub the wound vigorously with saline; instead, gently clean the area with mild soap and water. If there is a scab forming, it's best to leave it intact as it protects the underlying tissue. If the wound is still open, you can use saline to rinse it gently, but avoid aggressive scrubbing.

2. Managing Swelling: To reduce swelling, consider the following:
- Rest: Avoid putting weight on the injured ankle as much as possible.

- Ice: Apply ice packs wrapped in a cloth to the swollen area for 15-20 minutes every hour as needed. This can help reduce inflammation and numb the pain.

- Compression: Use an elastic bandage to wrap the ankle, but ensure it’s not too tight to avoid cutting off circulation.

- Elevation: Keep your ankle elevated above the level of your heart when resting to help reduce swelling.

3. Pain Management: Over-the-counter pain relievers such as ibuprofen or acetaminophen can help manage pain and reduce inflammation. Always follow the recommended dosage on the package or consult with a healthcare provider.


When to Seek Medical Attention
If you notice any of the following, it is crucial to seek medical attention:
- Increased pain or swelling that does not improve with home care.

- Signs of infection, such as increased redness, warmth, or discharge from the wound.

- Difficulty moving your ankle or bearing weight on it.

- Any new symptoms that arise, such as fever or chills.


Follow-Up Care
Since you mentioned that your injuries are healing, it’s essential to monitor your progress. If the swelling and pain persist beyond a few days or worsen, consider visiting a healthcare provider for further evaluation. They may recommend imaging studies, such as an X-ray, to rule out any fractures or more serious injuries.

In conclusion, while minor injuries can often heal well with proper care, it’s essential to stay vigilant about your symptoms and seek medical advice if anything seems off. Taking care of your ankle now will help ensure a smoother recovery process.

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