Ankle Fractures

Ankle fractures are common injuries in children can occur during: 

• sports 

• playground activities 

• falls 

• or twisting injuries.  

Children have growth plates near the ankle. Careful assessment is important for proper healing and continued bone growth. 

Common signs and symptoms include: 

• Pain, swelling, or bruising around the ankle. 

• Difficult walking or bearing weight. 

• Soreness (or pain) over the ankle bones or growth plate. 

Typical treatment may include: 

• A walking boot, splint, or cast to protect the injury. 

• Limits on activity while the fracture heals. 

• Follow up X-rays to monitor healing and bone alignment. 

More treatment may be needed if the fracture: 

• is displaced (the bones have shifted out of position). 

• involves the joint surface. 

• involves the growth plate. 

In these cases, treatment may include: 

• Closed reduction: Putting the bone back in place without surgery. 

• Surgery: To align and stabilize the fracture. 

Recovery and follow-up: 

• The length of treatment depends on the type and how severe the fracture is. 

• Return to sports and high-impact activities are typically delayed until healing is complete. 

• Growth plate injuries may require more follow-up to ensure normal bone growth.