Ankle sprain - Sprained ankle (Paediatrics)

Low urgency
Very common-

Injury to the ligaments of the ankle joint that occurs after the foot is forced into an unnatural position. It is a very common reason for emergency department visits. There are different classifications depending on the severity of the symptoms and the strain on the ligaments.

It is usually caused by a bruise of the ligaments that give stability to the ankle, or by poor posture when stepping on the ground, which causes the ligament to stretch beyond its elastic limit.  

Symptoms include severe pain, swelling and bruising of the joint.

It is diagnosed clinically by asking about the episode and examining the ankle. X-rays are usually needed.

Treatment includes cold, compression with an elastic bandage, immobilisation and elevation of the limb. Rehabilitation is then carried out.

Bibliographic references
  1. Karen L Maughan. Ankle sprain. UpToDate, Enero 2016.
  2. Sman AD. Diagnostic accuracy of clinical tests for diagnosis of ankle syndesmosis injury: a systematic review. Br J Sports Med 2013; 47:620.
  3. Boruta PM. Acute lateral ankle ligament injuries: a literature review. Foot Ankle 1990; 11:107.
  4. Williams GN.Syndesmotic ankle sprains in athletes. Am J Sports Med 2007; 35:1197.
  5. McKay GD. Ankle injuries in basketball: injury rate and risk factors. Br J Sports Med 2001; 35:103.
Author
Dr. Maria Trabazo
Copyright
© TeckelMedical 2026

Symptoms

    Ankle pain


    Ankle swelling


    Pain in the outer area of the foot, near the little toe, in the fifth metatarsal region


    Pain in the inner upper region of the foot, around the navicular bone


    Ankle bruise

Symptoms to watch out for

Pain that doesn't subside with analgesics
Fever (temperature higher than 38 ºC)

Self-care

Consume over-the-counter pain relievers or anti-inflammatories.
Apply local cold in the area of the lesion 3 times a day to reduce inflammation.
Relative rest, rest until symptoms subside.
Avoid doing abrupt movements.