The anklet is made up of 3 tibia bones, fibula, talus, and is surrounded by a system ofligaments. The ligaments are responsible for helping the ankles operate in astable, balanced position.
If the ligaments around the ankles are torn, the ankles will be less stable, the feet will deviate outward or inward, more or less depending on the degree ofligament damage. Trauma occurs more severely, the bones that make up the ankle joint may also break.
1. Even though the mechanism of simple injury such as tripping lightly on the ankles and feet, do not under estimate. Because such force is enough to make your ankle fracture, dislocate, requiring corrective surgery.
In these cases, the majority of victims often assume mild sprains, or treat themselves with traditional methods such as correcting disorder, covering leaves, alcohol pills, etc. This often causes many complications, moreover, it will be much harder to treat later.
2. The most annoying complication of the bundle is to cause dermatitis. Because just below the skin of the ankles is bone and hematoma due to trauma, so it is easy to develop infection spreading into the joints, in broken bones and surrounding healthy tissue. Some bundles of unfinished cigarette leaves can cause sores of the necrosis to produce a very dangerous, rotten leg.
3. Injury to the ankles is particularly easy to swell over the pillow. Below the skin are bones and joints. This is a kind of organization with many blood vessels. So this area is easier to bleed. Around the ankles, there are many large shallow veins, easily causing swelling due to stagnation of blood returning to the heart.
4. Pain is low and does not last long, usually feeling depressed. Even when a bone is broken, the pain only appears during the first week. That is also the reason why people pay little attention to injury.
5. Prolonged swelling is often the main reason why patients come to the hospital to check for damage. Most patients are worried about why the pain is gone but there is still swelling lasting for weeks after the injury.
6. Limiting the movement of the ankles such as folding or folding the back of the foot will cause the person to have a limp gait. If this complication occurs after an injury, it is more likely that there is joint damage in the ankle.
7. Pain around the ankle with as light swelling may be a sign of arthritis of the ankle after injury. It is usually caused by a synovial synovitis (sinus-tarsi syndrome) after being injured in the ankle ligament here. This situation makes patients uncomfortable because they have been taking long-term anti-inflammatory drugs but not completely gone.
8. Principles of initial management: R – I – C – E
– R (rest): Lying down, limiting movement of the ankles, can carry out a protective brace.
– I (ice): Cold compress around the ankles with an ice pack of nylon.
– C (compression): Apply moderate bandage bandage from the foot to the pillow to limit swelling caused by stagnation of venous blood.
– E (elevation): Located high in the legs, making venous blood circulation easier.Be careful not to list too high, usually about 10-20cm. Too high will numb your legs by reducing arterial blood flow to your feet.
9. Check the ankles with X-ray film to detect fractures or dislocations such as ankle fractures, dislocations of the ankles, fractures of the baseball ceiling, and fracture of the heel.
10. If there is no fracture, most damage to the ankle ligaments and joints, is also called a sprain. Need to fix the posture of your ankles for a while to keep the ligaments healthy.
Usually after 3-6 weeks, you will practice your ankle for a few more weeks to recover like before. Some patients who are impatient to seek other treatments may have more complications. At that time the treatment period will also last many times.