View source for Ankle pain

{{AdultPage|Ankle pain (peds)}}
==Background==
[[File:Slide3Bubu.jpg|thumb|Ankle anatomy: left ankle, anterior-lateral view.]]
[[File:Slide2WIKI.jpg|thumb|Ankle anatomy: left ankle, anterior-medial view.]]
[[File:919 Ankle Feet Joints.jpg|thumb|Ligaments of ankle and feet.]]

==Clinical Features==
*Ankle pain

==Differential Diagnosis==
{{Other ankle injuries DDX}}
{{Distal leg fractures DDX}}
{{Foot and toe fractures DDX}}
{{Foot diagnoses}}

==Evaluation==
===Workup===
====Acute traumatic====
*Consider x-rays
**Use [[Ottawa Ankle Rules]] for acute ankle injuries to determine need for x-rays

====Atraumatic / Subacute====
*Consider x-rays
*Consider labs for infectious workup (i.e. [[septic joint]])
**CBC
**Chemistry
**Coags
**ESR/CRP
*Consider [[Arthrocentesis: ankle|arthrocentesis]]

===Diagnosis===
====Acute traumatic====
*Typically determined by imaging

====Atraumatic / Subacute====
*See following for analysis of synovial fluid, if indicated

{{Arthrocentesis diagnostic chart}}

==Management==
*Depends on individual diagnosis
*Traumatic injuries may require a [[posterior ankle splint]] and/or crutches

==Disposition==
*Depends on specific diagnosis
**Most closed and distally neurovascularly intact traumatic injuries are treated as an outpatient
**Ortho referral for significant fractures/dislocations
**[[Septic joint]] should be admitted

==See Also==
*[[Diagnoses by Body Part (Main)]]

[[Category:Orthopedics]]
[[Category:Trauma]]
[[Category:Misc/General]]
[[Category:Symptoms]]