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The Potts fracture is common in severe ankle medial (inside) or lateral (outside) ligament strains. The medial and the lateral malleolus form the upper attachment for the ligaments on the inside and outside of the ankle. In severe ankle sprains the force may pull the bone off with the ligament. This injury will occur when the ankle is rolled inward or outward beyond its normal range of movement.
Symptoms in this case include severe pain on the inside and outside of the ankle. A ‘crack’ may be felt during injury. The ankle will feel unstable with movement and it will not be possible to put weight through the affected ankle.
Early Injury Management
For approximately the first 72 hours following an injury, the RICE regime should be followed to ensure control of inflammation and pain relief.
R – Rest
I – Ice
C – Compression
E - Elevation
Rest from aggravating activity.
Ice should be applied in the first 72 hours or when inflammation persists. Ice should be applied for fifteen to twenty minutes at a time. Ice should not be applied directly to the skin, but through a wet towel or cloth.
Compression can be achieved with an elastic bandage.
Elevation is used to help swelling to return to the heart through the blood stream.
The injured area should be elevated above the level of the heart.
Strengthening programs should only be commenced when:
Exercises should be three sets of 8-12 repetitions.
Wobble Board Exercises – Circles
Rotate tilt around in a circle, try not to touch the ground.
2. Progression of balance exercises
Balance and coordination need to be restored. Proprioception is the awareness of one’s own body position and is important in balance and coordination:
Balance on one leg
Balance on one leg on an uneven surface, eg. mini-tramp/wobble board.
Wobble board exercise help ankle rehabilitation by improving balance and increasing muscle strength around the ankle:
Wobble Board Exercises – Side to side
Tilt board side to side, try not to touch the ground.
Wobble Board Exercises – Forward and Back
Tilt board forward and back, try not to touch the ground.