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Contact us to book an appointment at either our St. Louis, Fenton or Creve Coeur office today. Your doctor will discuss your medical history and general health. They will ask about your work, your activities, your diet, and what medications you are taking. It is important that your doctor is aware of your risk factors for stress fracture. If you have had a stress fracture before, your doctor may order a full medical work-up with laboratory tests to check for nutritional deficiencies such as low calcium or Vitamin D. Anything that alters the mechanics of how your foot absorbs impact as it strikes the ground may increase your risk for a stress fracture.
Take the first step to a pain free life
Anyone who engages in regular physical activity can develop a hairline fracture, especially if the activity involves repetitive movements that put a strain on a bone or a group of bones. Except for stress fractures, these fractures often occur due to a traumatic injury or more pressure placed on the bone than it can handle. This can happen when you roll your ankle, have a direct blow to the leg, fall, or experience sports-related trauma. For a simple break in one bone that is stable, your doctor may recommend using a walking boot or cast for about six weeks to protect the fracture as it heals. Depending on which bone is broken—and where the break is on the bone—you may be able to put some weight on the affected leg right away or you may need to use crutches for a few weeks.
What are the types of fibula fractures?
The fracture may not be visible until several weeks later when it has started to heal. After a few weeks, a type of healing bone called callus may appear around the fracture site. In many cases, this is the point at which the fracture line becomes visible in the bone. See your doctor as soon as possible if you think that you have a stress fracture in your foot or ankle. Even for the non-athlete, a sudden increase in activity can cause a stress fracture.
Symptoms of a Hairline Fracture
Severe open fractures require external fixations, where the metal screws or pins project outside the skin to keep the bones in place. The hip, elbow and ankle are the most common locations for avulsion fractures in the young athlete. You may need to spend a few weeks on crutches if you have an avulsion fracture around your hip. An avulsion fracture to your foot or ankle may require a cast or walking boot. At Missouri Orthopedics & Advanced Sports Medicine, we have the tools and knowledge required to diagnose and treat both hairline fractures and sprains, among other sports and work injuries.
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Stress Fractures of the Metatarsal Bones
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Experts at Yale Medicine have particular interest in the care of pediatric, diabetic, and high-energy fractures of the ankle. These types of fractures are more complex and require particular experience. Yale Medicine has ongoing clinical research studies regarding the best treatment for sports-related ankle fractures and diabetic ankle fractures.
TREATMENT FOR ANKLE FRACTURES
Many ankle fractures happen after traumatic events such as motor vehicle accidents, falling or being injured playing sports. If the doctor suspects a broken bone, they will ask for ankle X-rays. The doctor may also ask for X-rays of your knee, shin, or foot, depending on where the pain is.
Certain types of stress fractures may require additional stability. Your doctor may apply a cast to your foot to keep your bones in a fixed position and remove the stress on your involved leg. If your stress fracture occurred with light activity, your doctor may recommend a bone density scan (DEXA scan) to look at the strength of your bones overall. This can be helpful in diagnosing osteoporosis, and the results of this test can help your doctor determine whether you are a candidate for medications to help strengthen your bones. Doing "too much, too soon" is a common cause of stress fracture.
What surgery is done to treat broken ankles?
Overuse stress fractures occur when an athletic movement is repeated so often that weight-bearing bones and support muscles do not have enough time to heal between exercise sessions. A hairline fracture, also known as a stress fracture, is a small crack or severe bruise within a bone. This injury is most common in athletes, especially athletes of sports that involve running and jumping. Many fibula fractures may require wearing a walking boot or cast for a period of time, whereas most tibia fractures need surgery. When both the tibia and fibula are fractured, or the joint is shifted or dislocated, surgery is usually the best option.
Hairline Fractures
Ignoring a hairline fracture may result in a more serious fracture or break, which will be harder to treat. Some hairline fractures that are not treated become non-union fractures which will not heal. Long distance runners, for example, are particularly prone to hairline fractures of the foot, ankle and lower leg. Stress fractures can occur in any of the three ankle bones, especially the tibia or fibula.
Most stress fractures are caused by overuse and repetitive activity; they are common in runners and athletes who participate in running-intensive sports, such as soccer and basketball. Whether you experience a minor hairline fracture or a complex break, all ankle fractures require rest. In most instances, you’ll need to avoid putting weight on the ankle for some time, although in some cases, a walking cast can be allowed. Use of analgesics is also prescribed when the pain is unbearable. People who have hairline fractures can better visit physical therapists so that they could be advised with strengthening exercises that are non-weight bearing like swimming.
Assuming the bone is healed well, patients are then allowed to start weightbearing and to begin physical therapy. Patients will generally have six weeks of therapy or more if required. X-rays are usually required to determine whether there is a broken bone as opposed to a soft-tissue injury like a sprain, since ankle sprains and breaks have similar symptoms. Other radiology imaging, such as a CT scan or MRI, may be needed to determine the full scope of the injury. Because the ankle joint comprises three bones, there are numerous types of ankle fractures.
However, it is essential to avoid high-impact sports or activities that can worsen the injury during the recovery period. The pain from a hairline fracture will intensify when the person engages in activities that put a strain on the injured bone. This can inhibit a person’s mobility, which means they will be restricted as to how much weight they can put on the affected area.
You'll soon start receiving the latest Mayo Clinic health information you requested in your inbox. Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. “I suspect that he will be clinically healed enough by then to wear a regular shoe,” Schneider says.
People who have a larger second metatarsal bone are also at risk. These fractures typically cause generalized pain in the middle of the foot. Bone is in a constant state of turnover — a process called remodeling.
Most hairline fractures are caused from either overuse or repetitive activity. An increase in either the duration or frequency of activity can result in a hairline fracture. This means that even if you are used to running, suddenly increasing either your distance or the number of times per week you run can cause this injury. The main treatment for hairline fractures is refraining from doing activities that can aggravate the injury for approximately one month and half.
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