The Difference Between a Sprained Ankle and a Broken Ankle (2024)

Our busy lives take a toll on our bodies, and in particular our joints. The ankle joint takes a significant amount of the stress of everyday movement as it is vital to supporting and distributing bodyweight.

The ankle joint is a complex and vulnerable structure. The ankle is made up of the joining of the leg (tibia and fibula) and foot (talus) bones with support and movement provided by ligaments and muscles. An ankle roll, bad landing, or fall can easily lead to injury to one of the many vital parts of the ankle. Ankle injuries are unfortunately common. Approximately 2 million people in the US are treated for ankle injuries each year. Two of the most common types of ankle injuries include ankle sprains and breaks. Often, these injuries can appear the same.

If you’ve experienced an ankle injury, it’s imperative to seek professional diagnosis as soon as possible. A broken ankle can often be mistaken for a sprain, even with an X-ray, due to the complex structure of tissue, muscle, and ligaments concealing the bone. If not properly treated, an ankle break can lead to further pain, damage to the ankle joint, and impede mobility.

Read on for more info on the differences between a sprained ankle and a broken ankle:

See Also
Sprains

Symptoms of a Sprained Ankle

An ankle sprain occurs when the ligaments holding the bones of the ankle joint together are injured or torn. Sprains often occur when the ankle is twisted or overextended past it’s natural range of motion, such as when you roll your ankle, stretching the ligaments to the point of tearing.

The Difference Between a Sprained Ankle and a Broken Ankle (1)

Symptoms of an ankle sprain include:

  • Pain
  • Tenderness
  • Swelling
  • Bruising
  • Inability to hold weight
  • Stiffness
  • If you think you may have sustained an ankle sprain, it’s important to seek diagnosis as soon as possible. Your orthopaedic specialist will determine the severity of the sprain and the best course of treatment.

    Treatments for an ankle sprain include:

  • Wearing a brace to support the ankle
  • Use of a crutch to keep the weight off the joint
  • Rest and implementing the PRICE method
  • Physical therapy to strengthen the joint and restore range of motion
  • While rare in the case of a sprain, in acute cases, reconstructive surgery may be necessary to repair the torn ligaments and stabilize the joint
  • Symptoms of a Broken Ankle

    A broken ankle is defined by a fracture, crack, chip, or break in one of the bones of the ankle (including the fibula, tibia, and talus). A break is caused by stressing the bones of the ankle beyond their threshold of strength. They can be caused by twists and rolls, or by severe force such as falling. Ankle breaks are often accompanied by ankle sprains.

    The Difference Between a Sprained Ankle and a Broken Ankle (2)

    Symptoms of a broken ankle include:

  • Pain
  • Swelling
  • Bruising
  • Numbness of the toes or an inability to move the toes
  • Noticeable deformities of the bones around the ankle
  • While the symptoms for an ankle break are very similar to that of a sprain, the course of treatment will vary. Due to the high percentage of similarities in symptoms, it’s important to get an official diagnosis from an orthopaedic specialist as soon as possible. Your orthopaedic specialist will determine if a break is present and the severity of the break through a physical exam and X-rays before determining a course of treatment.

    Treatments for a broken ankle include:

  • Rest and implementing of the PRICE method
  • Taping or wrapping for less severe breaks
  • Casting and booting for more severe breaks
  • Use of a crutch to keep the weight off the joint
  • Physical therapy to strengthen the joint and restore range of motion
  • In severe cases, arthroscopic surgery to remove fragments of broken bone from the joint area
  • Treatment at MidAmerica Orthopaedics

    Whether you believe your ankle injury is a sprain or a break, the best course of action is to get it examined by a foot and ankle orthopaedic specialist as soon as possible. At MidAmerica Orthopaedics the expert physicians and physical therapists of our Foot and Ankle Clinic bring top of the industry experience and expertise to craft the best treatment course to get your back on your feet as soon as possible. The orthopaedic surgeons and physicians of the Foot and Ankle clinic work side by side with our industry leading physical therapists for the least invasive treatment possible.

    The Difference Between a Sprained Ankle and a Broken Ankle (3)

    Dr. Svetlana Zats is MidAmerica’s foot and ankle specialist. Dr. Zat’s is well-versed in the diagnosis and treatment of common and complex foot and ankle injuries, including ankle sprains and breaks. Dr. Zat’s utilizes her years of expertise to find the non-surgical and surgical treatment options that work best for her patients.

    The Difference Between a Sprained Ankle and a Broken Ankle (4)

    Dr. Sarkis Bedikian is one of MidAmerica’s premier orthopaedic surgeons. Dr. Bedikian is an expert in joint reconstruction, and can tackle even the most complex ankle injury surgical cases. Dr. Bedikian strives to improve quality of life and return his patient’s to a full and active lifestyle.

    To learn more about MidAmerica Orthopaedics and the different treatment options available to you, request an appointment online or call (708) 237-7200. MidAmerica Orthopaedics serves various areas such as Chicago, Tinley Park, Palos Hills, Mokena, Evergreen Park, New Lenox, Oak Lawn, Orland Park, and more.

    The Difference Between a Sprained Ankle and a Broken Ankle (2024)

    FAQs

    The Difference Between a Sprained Ankle and a Broken Ankle? ›

    But if you have numbness or tingling, your ankle is most likely broken. Where is the pain? If your ankle hurts or is tender to the touch directly over your ankle bone, you probably have a fracture. If the pain is in the soft part of your ankle, it's more likely a sprain.

    How can you tell if your ankle is broken or sprained? ›

    If your ankle hurts or is tender when you touch directly over your ankle bone, it is probably a fracture. However, if you're experiencing pain in the softer part of the ankle, it's more likely a sprain.

    Can you walk on a fractured ankle? ›

    In comparison to a sprain, where you can usually walk on your ankles, ankle fractures tend to be very painful. Most people with a fractured ankle can't put weight on it. A fractured ankle or significant sprain causes immediate swelling and the ankle cannot be moved.

    Is a sprained ankle more painful than a break? ›

    Sprains are often billed as less severe. But a sprained ankle can be just as painful as a broken one. A sprain is an injury to a ligament. Ligaments are bands of tissue that attach two bones together at a joint.

    Can I walk on a sprained ankle? ›

    The pain and swelling of an ankle sprain most often gets better within 48 hours. After that, you can begin to put weight back on your injured foot. Put only as much weight on your foot as is comfortable at first. Slowly work your way up to your full weight.

    Can you still move your ankle if it's broken? ›

    Common folklore says that if you can move it, it isn't broken, but that is not always the case. A broken ankle can be a combination of injuries to your bones and ligaments (the connectors between bones).

    What does a fractured ankle feel like? ›

    If you fractured your ankle, you will likely experience immediate, sharp pain and possible swelling. Additional symptoms include: Pain that spreads throughout the foot and up your leg, toward your knee. Intensifying pain if you try to bear weight on your foot.

    Can a broken ankle heal on its own? ›

    A fracture refers to an injury or break to the bones. There are many types of fractures, ranging from small hairline fractures to traumatic bone breaks. Although minor fractures can heal on their own, more serious fractures will require surgery.

    Can you leave a broken ankle untreated? ›

    Patients with unrecognized ankle fractures have a high risk of developing infection, arthritis and foot deformities that may make it impossible to walk normally again.

    Does a fractured ankle need a cast? ›

    Without surgery, your ankle will be placed in a cast or splint for 4 to 8 weeks. The length of time you must wear a cast or splint depends on the type of fracture you have. Your cast or splint may be changed more than once, as your swelling goes down.

    How to tell a break from a sprain? ›

    If you break a bone, you may hear a cracking sound. Source of the pain. If the pain you feel is in the soft tissue around a joint, it's probably a sprain. If applying light pressure over a bone causes significant pain, the injury is likely a fracture.

    Which swells more, a sprain or a break? ›

    If the injured area experiences immediate and severe swelling, that could be a sign of a broken bone or fracture. However, if the swelling is mild and develops gradually, it is likely a sprain or strain.

    When to worry about a sprained ankle? ›

    Sudden pain, swelling, trouble walking, and other symptoms can signal a need for medical attention. Waiting too long can lead to repeat injuries, more complex treatments, worse long-term results, and even arthritis. “Acute, sudden pain in the ankle with a trauma is often caused by an ankle injury,” Dr.

    How do you know if your ankle is broken or sprained? ›

    But if you have numbness or tingling, your ankle is most likely broken. Where is the pain? If your ankle hurts or is tender to the touch directly over your ankle bone, you probably have a fracture. If the pain is in the soft part of your ankle, it's more likely a sprain.

    What are four signs an ankle sprain is bad? ›

    Your doctor may be able to tell the severity of your ankle sprain based on the amount of swelling, pain, bruising, and stability. If you have difficulty bearing weight, or tenderness in the bones of the foot and ankle, you may need additional tests to rule out a fracture.

    How do I know if I tore a ligament in my ankle? ›

    Symptoms of a torn ankle ligament include a 'pop' sound at the time of the injury, severe pain, a feeling of joint looseness, inability to bear weight, immediate bruising, immobility, and possible visual joint deformity.

    How to tell the difference between a sprained ankle and a torn ligament? ›

    When a ligament has been sprained, it's still attached to the bone but has been damaged in some way. A ligament tear is more severe. When you're diagnosed with a torn ligament, it indicates that the ligament has either pulled away from the bone or torn completely in half.

    How do doctors check for broken ankle? ›

    Most ankle fractures can be visualized on X-rays. The technician may need to take X-rays from several different angles so that the bone images won't overlap too much.

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