An ankle fracture is accompanied by one or all of these symptoms:
Pain at the site of the fracture, which in some cases can extend from the foot to the knee
Significant swelling, which may occur along the length of the leg or may be more localized
Blisters may occur over the fracture site. These should be promptly treated by a foot and ankle surgeon.
Bruising that develops soon after the injury
Inability to walk—however, it is possible to walk with less severe breaks, so never rely on walking as a test of whether a bone has been fractured
Change in the appearance of the ankle – it will look different from the other ankle
Bone protruding through the skin—a sign that immediate care is needed. Fractures that pierce the skin require immediate attention because they can lead to severe infection and prolonged recovery.
The chances of a child developing heel pain can be reduced by:
Choosing well-constructed, supportive shoes that are appropriate for the child’s activity
Avoiding or limiting wearing of cleated athletic shoes
Avoiding activity beyond a child’s ability.
What is Calcaneal apophysitis?
Calcaneal apophysitis is a painful inflammation of the heel’s growth plate.3
It typically affects children between the ages of 8 and 14 years old, because the heel bone (calcaneus) is not fully developed until at least age 14.
Until then, new bone is forming at the growth plate (physis), a weak area located at the back of the heel. When there is too much repetitive stress on the growth plate, inflammation can develop.
Calcaneal278Calcaneal apophysitis is also called Sever’s disease, although it is not a true “disease.” It is the most common cause of heel pain in children, and can occur in one or both feet.
Heel pain in children differs from the most common type of heel pain experienced by adults. While heel pain in adults usually subsides after a period of walking, pediatric heel pain generally doesn’t improve in this manner. In fact, walking typically makes the pain worse.
Treatment and prevention
To properly treat heel pain, you must absorb shock, provide cushioning and elevate the heel to transfer pressure.
This can be accomplished with a heel cup, visco heel cradle, or an orthotic designed with materials that will absorb shock and shear forces.
When the condition is pronation related (usually plantar fasciitis), an orthotic with medial posting and good arch support will control the pronation and prevent the inflammation of the plantar fascia. Footwear selection is also an important criteria when treating heel pain. Shoes with a firm heel counter, good arch support, and appropriate heel height are the ideal choice.
In evaluating your injury, the foot and ankle surgeon will obtain a thorough history of your symptoms and examine your foot. X-rays or other advanced imaging studies may be ordered to help determine the severity of the injury.