ORIF ankle fracture/acute dislocation question....

[physiorick]

Hi,is anyone able to give me some pointers RE a client i am treating.
he had an ankle inversion injury in april 08 but came to see me 4 months later.
he injured it as he landed after jumping over a style while out hiking.
on injury he had immediate swelling and symptoms of shock (clammy, nausea, dizzy)
he had no xray on it, and his main problems at present is that is aches++ at rest.
it is fine when he is walking around, but once he is sat down or in bed it aches profusely.
no swelling or local tenderness of the ligaments. end of range inversion and EOR plantaflexion --> a sharp pain but he is unable to pinpoint where the pain is originating.
the symptoms he gets vary in location but seem to be around the talar region.

does anyone have an idea of diagnosis for this? I suspect some form of small fracture and possibly some residual ligament injury (?interosseous talocalcaneal lig?)

thanks,
Rick

[bridgke]

Hey All,

I broke the bottom of my right ankle fibula. It's a clean break all the way through. The doctor suggests an ORIF on the right ankle fibula. Is this a common procedure? The ER said surgery was unnecessary but I went to a sports doctor because I do all kinds of sports recreationally so he suggested the surgery. I intend to get a second opinion- I just wondered if this is a common surgery for this type of ankle fracture?