Ankle pain: Difference between revisions
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{{ | {{AdultPage|Ankle pain (peds)}} | ||
==Background== | ==Background== | ||
[[File:Slide3Bubu.jpg|thumb|Ankle anatomy: left ankle, anterior-lateral view.]] | [[File:Slide3Bubu.jpg|thumb|Ankle anatomy: left ankle, anterior-lateral view.]] | ||
Latest revision as of 18:09, 16 January 2026
This page is for adult patients. For pediatric patients, see: Ankle pain (peds)
Background
Clinical Features
- Ankle pain
Differential Diagnosis
Other Ankle Injuries
Distal Leg Fracture Types
- Tibial plateau fracture
- Tibial shaft fracture
- Pilon fracture
- Maisonneuve fracture
- Tibia fracture (peds)
- Ankle fracture
- Foot and toe fractures
Foot and Toe Fracture Types
Hindfoot
Midfoot
Forefoot
Foot diagnoses
Acute
- Foot and toe fractures
- Subtalar dislocation
- Metatarsophalangeal joint sprain (turf toe)
- Acute arterial ischemia
- Calcaneal bursitis
Subacute/Chronic
- Diabetic foot infection
- Peripheral artery disease
- Plantar fasciitis
- Trench foot
- Ingrown toenail
- Paronychia
- Tinea pedis
- Morton's neuroma
- Diabetic neuropathy
Evaluation
Workup
Acute traumatic
- Consider x-rays
- Use Ottawa Ankle Rules for acute ankle injuries to determine need for x-rays
Atraumatic / Subacute
- Consider x-rays
- Consider labs for infectious workup (i.e. septic joint)
- CBC
- Chemistry
- Coags
- ESR/CRP
- Consider arthrocentesis
Diagnosis
Acute traumatic
- Typically determined by imaging
Atraumatic / Subacute
- See following for analysis of synovial fluid, if indicated
Template:Arthrocentesis diagnostic chart
Management
- Depends on individual diagnosis
- Traumatic injuries may require a posterior ankle splint and/or crutches
Disposition
- Depends on specific diagnosis
- Most closed and distally neurovascularly intact traumatic injuries are treated as an outpatient
- Ortho referral for significant fractures/dislocations
- Septic joint should be admitted