A ‘talus avulsion fracture’ is a small break (fracture) to the ankle bone (talus).
It is caused by a fragment of bone breaking off (avulsion) from the ankle bone where it attaches to tendons or ligaments. It is treated like a sprain.
Healing usually takes around 6 weeks.
Pain and swelling
Your ankle may be swollen and painful. This is normal for 3 to 6 months after your injury. Swelling is often worse at the end of the day. Resting with your foot up, and using ice or cold packs, will help (see Caring for your injury, below). You can also take pain killers.
Speak to your GP or pharmacist for advice on what medicines to take for the pain.
Walking and your boot
The boot protects your ankle and will make you more comfortable. Wear the boot when you are standing and walking for the first 2 weeks. You can put weight through your foot. You may find it easier to use crutches in the early stages. You can take the boot off at night or when resting.
Tell us if you have diabetes. You may need a special boot.
Start exercise as soon as possible. See Exercises (below) for details.
Reducing or stopping smoking will help recovery.
For help, talk to your GP or pharmacist, or go to www.smokefree.nhs.uk for more information.
We do not usually book to see patients again. With this injury, most people recover well by following the instructions we give here.
Contact the Trauma Triage Clinic team (details at the bottom of this leaflet):
if you are still using the boot after 6 weeks
if you still have significant pain or swelling after 12 weeks
if you are concerned about your symptoms
if you are unable to follow the instructions given below
if you have pain other than in your ankle.
Caring for your injury: week 1 to 2
Rest your ankle, especially in the first 3 days. Raise your ankle on a stool or cushions so that it is above the level of your hip. This will help reduce the swelling.
Wear your boot whenever standing and walking for the first 2 weeks. You can take it off when resting and at night. Wear a long sock in your boot.
Use a cold pack to help with pain and swelling. You can use an ice pack or bag of frozen peas wrapped in a damp towel. Put this on your ankle for up to 15 minutes every few hours. Make sure the ice is not in direct contact with your skin.
Please speak to a member of staff before or during your visit to the hospital if you require translation.
Please contact the Patient Experience Team on 020 8934 3850 if you need this information in a different format.
For information accessibility please visit Kingston Hospital AccessAble www.accessable.co.uk/kingston-hospital-nhs-foundation-trust
Visit the hospital website, ask a member of staff, or ring us for details.
Switchboard 020 8546 7711
‘Find Us’ page for maps, transport, registering a blue badge, disabled access
Information, advice and support for patients and relatives (PALS) 020 8934 3993
Please speak to a member of staff before or during your visit to the hospital if you require translation support to access Patient Information. Please ring the phone number on your appointment letter, if you have one.
Request More Information
Please contact the Patient Experience Team on 020 893 3850 if you need this information in a different format.
For detailed information on accessibility at Kingston Hospital visit Kingston Hospital AccessAble (https://www.accessable.co.uk/kingston-hospital-nhs-foundation-trust).
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