There is usually widening of the distal tibiofibular articulation and medial malleolus fracture or deltoid ligament injury may be present. A Danis-Weber Type C fracture is always unstable and occurs proximal to the level of the syndesmosis. The medial malleolus may be fractured or deltoid ligament may be torn. The tibiofibular syndesmosis is usually intact or only partially torn, but there is no widening of the distal tibiofibular articulation. A Danis-Weber Type B is a fracture at the level of the syndesmosis and has variable stability. The fracture is generally below the level of the tibial plafond, with an intact syndesmosis and deltoid ligament. 3 A Danis-Weber Type A is a fracture of the lateral malleolus distal to the syndesmosis and is usually stable unless there is also a medial malleolar fracture. The Danis-Weber classification grades the ankle fracture based on the location of distal fibular fracture as compared to the syndesmosis. Patients will almost always report moderate to severe pain and a possible inability to walk or apply pressure on the site of injury.
1,2Īnkle fractures can occur after a fall, twist, or direct hit to the bone. 1 Not surprisingly, there is a bimodal distribution with a peak during the years of 15-24, particularly in males, and then again between the ages 75 and above, when falls become more prominent, and osteoporosis sets in, particularly in women. For additional information visit Linking to and Using Content from MedlinePlus.Ankle fractures are common emergency department presentations, with an incidence of 187 per 100,000. Any duplication or distribution of the information contained herein is strictly prohibited without authorization. Links to other sites are provided for information only - they do not constitute endorsements of those other sites. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. This site complies with the HONcode standard for trustworthy health information: verify here. Learn more about A.D.A.M.'s editorial policy editorial process and privacy policy. is among the first to achieve this important distinction for online health information and services. follows rigorous standards of quality and accountability. is accredited by URAC, for Health Content Provider (URAC's accreditation program is an independent audit to verify that A.D.A.M. You may need prescription pain medicines (opioids or narcotics) to keep your pain under control at first.Ī.D.A.M., Inc. If you have liver disease, ask your provider if this medicine is safe for you. Sometimes, they will not want you to take the medicines as it can affect healing.Īcetaminophen (Tylenol and others) is a pain medicine that is safe for most people. Check with your provider about taking anti-inflammatory medicines like Ibuprofen or Naprosyn after fracture.Not take more than the amount recommended on the bottle or more than your provider advises you to take.Talk with your provider before using these medicines if you have heart disease, high blood pressure, kidney disease, or have had stomach ulcers or internal bleeding in the past.Not use these medicines for the first 24 hours after your injury.You can buy these medicines without a prescription. After 2 days, use the ice pack for 10 to 20 minutes, 3 times a day as neededįor pain, you can use ibuprofen (Advil, Motrin, and others) or naproxen (Aleve, Naprosyn, and others).
Apply an ice pack 20 minutes of every hour, you are awake, for the first 2 days.Sit with your foot elevated higher than your knee at least 4 times a day.
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