A broken or fractured ankle is an injury to the bone. You may experience a broken ankle from a twisting injury from a simple misstep or fall, or from direct trauma during a car crash, for example.

The seriousness of a broken ankle varies. Fractures can range from tiny cracks in your bones to breaks that pierce your skin.

Treatment for a broken ankle depends on the exact site and severity of the bone fracture. A severely broken ankle may require surgery to implant plates, rods or screws into the broken bone to maintain proper position during healing.

Symptoms
If you have a broken ankle, you may experience some of the following signs and symptoms:

Immediate, throbbing pain
Swelling
Bruising
Tenderness
Deformity
Difficulty or pain with walking or bearing weight
When to see a doctor
See a doctor if there is obvious deformity, if the pain and swelling don't get better with self-care, or if the pain and swelling get worse over time. Also, see a doctor if the injury interferes with walking.

Causes
A broken ankle is usually a result of a twisting injury, but can also be caused by a direct blow to the ankle.

The most common causes of a broken ankle include:

Car accidents. The crushing injuries common in car accidents may cause breaks that require surgical repair.
Falls. Tripping and falling can break bones in your ankles, as can landing on your feet after jumping down from just a slight height.
Missteps. Sometimes just putting your foot down wrong can result in a twisting injury that can cause a broken bone.

Prevention
These basic sports and safety tips may help prevent a broken ankle:

Wear proper shoes. Use hiking shoes on rough terrain. Choose appropriate athletic shoes for your sport.
Replace athletic shoes regularly. Discard sneakers as soon as the tread or heel wears out or if the shoes are wearing unevenly. If you're a runner, replace your sneakers every 300 to 400 miles.
Start slowly. That applies to a new fitness program and each individual workout.
Cross-train. Alternating activities can prevent stress fractures. Rotate running with swimming or biking.
Build bone strength. Get enough calcium and vitamin D. Calcium-rich foods include milk, yogurt and cheese. Ask your doctor if you need to take vitamin D supplements.
Declutter your house. Keeping clutter off the floor can help you to avoid trips and falls.
Strengthen your ankle muscles. If you are prone to twisting your ankle, ask your doctor for exercises to help strengthen the supporting muscles of your ankle.

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