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I rolled my right ankle at work in the woods April 20, 2016. Stepped over a log on a steep slope onto a loose boulder. I was working on a remote area and was dropped off/picked up by helicopter. I ended up walking on my foot for another 4-5km that day hobbling along thinking I had severely sprained it. Finally made it home and proceeded with the RICE method. By morning swelling was worse and decided to get it checked. Here is a summary of my results/treatment so far:
1. April 20 rolled ankle
2. April 21 – Visit ER. Dr. has x-ray completed. Tells me it is a small undisplaced fracture of lateral malleolus. Go get aircast, use crutches (NWB) and follow up with family Dr in 2 weeks. He said I would be “good to go” in 4-6 weeks.
3. 2 weeks later follow up with family Dr. She tells me to have to x-rayed again in 2 weeks (4 weeks post-injury)
4. 4 weeks post-injury x-ray shows no signs of healing. Family Dr. says continue NWB for 4 more weeks
5. 8 weeks post-injury x-ray again shows no signs of healing and according to the radiologist report “doesn’t look like it will ever heal”. Family Dr. doesn’t know what to tell me and says I need to see a specialist (which could take months to get into). I feel like she knows nothing at this point as she told me to go home for another 4 weeks and
"we'll have it x-rayed" again. While waiting to hear about when my appointment with the orthopedic surgeon would be I called my cousin would is an OS and he said without see my xrays that it was a common injury and that although no signs of healing that slowing introducing weight to my ankle would help with healing (wean off crutches wearing aircast over 2 week period). Got call for appointment with specialist.
6. 11 weeks post-injury meet with specialist. He has x-ray completed again (which I was never shown) and says that it is an avulsion fracture and there is a bone flake at the very distal tip of my fibula. He checked my ankle and I had no pain or swelling. Says that it will remain like this held in place by “filaments” and soft tissue likely for the rest of my life. He expects a full recovery and has given me a Rx for physio and wants to see me in 6 weeks to make sure I have full ROM again. He says this type of injury is treated as a sever ankle sprain.
I have been doing a lot of research and haven’t been able to find a similar case to mine where it was “okay” to leave this bone chip/flake floating around in my foot. I just don't understand how this would be acceptable to leave in there. I live a very active personal liefestyle (hiking, hunting, fishing, etc.) and also depend on my feet for my career as a forester working/walking in the worst possible terrain there is to walk on. I am worried that maybe I needed/need surgery or that this may cause me huge problems later in life. Since I haven’t been able to find anything online I am wondering if this is not as “common” as he says it is. It was not an ankle specialist I went to just a general OS (not sure if that matters). Anyway, any advice or encouragement or otherwise would be greatly appreciated.
Thanks for your time.
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