Pediatric ankle instability and sprains (twisted ankle)

What are pediatric ankle instability and sprains (twisted ankle)?

Our orthopaedic and sports medicine specialists offer a full range of non-invasive treatments for ankle problems, including rehab with our in-house physical therapists (PT). Also known as a twisted ankle, ankle sprains occur when the joint’s ligaments stretch or tear.

The ankle is the most commonly sprained joint, and most ankle sprains happen on the outside (lateral side) of the joint. Ankle sprains usually get better with rest and exercises that strengthen the ligaments. But frequent ankle rolls or sprains during sports or other everyday activities may indicate that your child has chronic ankle instability. When an ankle sprain doesn’t get better, we may recommend surgery to repair the ankle ligaments. Our surgeons specialize in a minimally invasive approach.

What are the signs and symptoms of an ankle instability and a sprain (twisted ankle)?

Your child’s symptoms may include:

• Pain

• Swelling

• Warmth or redness

• Bruising

• Limited range of motion

• Difficulty putting weight on the injured ankle

How are ankle instabilities and sprains (twisted ankle) diagnosed?

Most ankle injuries are diagnosed with a physical examination and a review of your child’s medical history. Test may also help determine the problem.

Diagnostic tests may include:

• X-rays - Uses invisible electromagnetic energy beams to take detailed images of the bones of the ankle

• CT (computed tomography) scan - Uses X-rays to make detailed images of the ankle joint

• MRI (magnetic resonance imaging) scan - Uses magnetic fields and radio waves to take detailed pictures of the shoulder joint, checking for tears in the ligaments, tendons and cartilage

What are the causes of pediatric ankle instability and sprains (twisted ankle)?

Also known as a twisted ankle, ankle sprains occur when the joint’s ligaments stretch or tear.

How are pediatric ankle instability and sprains (twisted ankle) treated?

Our expert orthopedic physicians can often treat ankle instability and sprains without surgery. Treatment options for your child’s ankle injury are based on the severity of the injury and your child’s age and medical history.

Potential ankle treatments include:

• Rest, ice, compression and elevation (RICE)

• Medication

• Activity modification

• Bandaging, splinting or casting

• Crutches or wheelchair

• Physical therapy (PT) and rehabilitation