If no fracture is noted on x-ray, ice to ankle, elevate, air cast and crutches for all but the most minor 1 st degree strains. If minimal fibular avulsion fx noted, treat as sprain. For all other fractures, follow-up per orthopedics. S Rest, ice, elevation. Progressive weight bearing as tolerated for all patients.
Early ambulation is encouraged, with the lateral ligaments protected in an air cast.
Range of motion exercises whereby the patient dorsiflexes and plantar flexes the ankle. Can be started immediately. Contact your PMD in 48 hours to arrange follow-up. These guidelines are intended to be tools to facilitate clinical decision making. They are not the standard of care for each patient.