Ankle Fracture Dislocation

Frequently Asked Questions

    How soon after a fairly severe ankle injury (fracture/dislocation) can I expect to start running again?
    I mean at all. My ankle is feeling seminormal although my friends still tell me I have a definite limp. But this past weekend I was crossing a street, and the light was changing, and on reflex I started to run. My ankle immediately told me not to do that. How soon before running any distance is an option, and while I’m here, how soon before I can start running for exercise or sport again? Before the injury I could run measurable times in 5 and ten Ks, and even placed in a few.

    To give a context: I was in a cast/on crutches for almost 4 months, and in a boot for another month or so. I’m still using an aircast most of the time out of the house. It’s been a long process with some setbacks…
    Kandi: I had plates and screws. I still have intermittent pain and stiffness, and my ankle still doesn’t work very well. I’m prone to rolling it, which is why I still wear the aircast (but not the boot). Setbacks: I sprained it badly two weeks after weaning myself off the boot, which led to another three weeks on crutches and with the boot.

    • ANSWER:
      maybe around 3 months

    Can I make a full recovery from trimalleolar ankle fracture / dislocation?
    I’m 17 yrs old. I was a soccer player and a swimmer untill my teamate pushed me, making me fall and dislocate/break my ankle in 3 places. The doctor says I’ll be lucky to walk w/o a limp, and that I’ll probably never be able to run or play sports again. There goes my soccer scholarship and probably my only chance at college.
    Yes, I have hardware.

    • ANSWER:
      Thank your lucky stars that you are 17. You will probably heal faster than someone my age, who was 30 years older when I broke my ankle.

      My orthopedic surgeon friend said it takes three years to fully recover from a break like that. You haven’t said if you have plates or screws..which might make a difference in your recovery, and your ability to do sports again. Also the length of your healing.

      I have 2 plates, 12 screws to hold mine all together. I used to run, ski, in-line skate. I don’t do any of that anymore. It hurts. 5 years later, I can walk fine, hike, but only a few miles, and then there is discomfort and swelling.

      First of all, go slow…don’t push using your foot; in the long run you could hurt yourself. Do follow doc’s directives, do your PT (find a GREAT Physical Therapist—not some factory where you don’t see the same person twice!)

      I went snorkeling two years after my break–after all, I seemed to be able to swim and bike just fine. But once I got in the water, the fins KILLED my foot. I had to stop. Be smart, listen to your body . Soccer…don’t know about that…swimming should be ok. Can you go for a swimming scholarship?

      And as far as school goes..where there is a will there is a way. I got a Bachelor’s and a Master’s Degree being a single parent to two, and I had no money…and am a very successful professional now. Did my ankle break change my life? It sure did, but there were lessons to learn from that too

      Good luck to you!

    Recovery time- Ankle dislocation/fibula fracture for young males.?
    It’s been about a month since I dislocated my ankle and fractured my fibula and had surgery – metal plate to help fibula heal and screw to help bones in ankle back to natural alignment, but my question is do young males heal faster? I am 5’8 180 athletic condition, just wondering if being physically fit attributes to quicker recovery time. HELP PLZ

    • ANSWER:
      At least 6 weeks depending if you have a fixator or not, then a month or so of rehad. You might be dancing by New Years Eve.

    Ankle/dislocation leg fracture!?
    I slipped in my yard and dislocated my ankle and have a spiral fracture of my Fibula(opposite the shinbone) and Different doctors are telling me different recovery time.I had surgery to put plate/screws into my ankle yesterday and will be in a cast for 4-6 week’s (I had a cast for a week prior to surgery)I was planning playing football at a JUCO this season I think that is out the window but I’m wondering when can I drive/walk etc.I’m being told 6 month’s, 3 month’s, 2 month’s I will recover So I was just looking for anyone who has unfortunetly suffered this injury.To give some advisory tips for a full recovery thank you

    • ANSWER:
      A friend of mine had the same injury skiing but it was in Tibia he was in a cast for about two months. then went to a walking boot, and he is driving now. Everyone is different thats why the doctors are giving you different answers. if you didnt know your fibula only holds has a small percentage of weight for your leg. like 5%. I think you will be walking faster then you think because it of it. So If you keep off of it until you are allowed to put weight on it, and do what your doctors tell you to do, go to physical therapy etc, you’ll be back to doing the things you were doing before. but now is the time for your friends to take care of you ;) Feel better

    ankle bone fracture

    • ANSWER:

    What is more pain full, a fracture or a dislocation?
    I can dislocate very easily and in the last 2 months i have dislocated both my knees and my thumb, also in the last year i have fractured my hand,wrist,foot and ankle.A few times i have fractured and dislocated at the same time and when doing this all i feel is pain and i would like to know what is causing most of the pain, the dislocation or the fracture. If you know because you are either a doctor or have had similare experiences could you please tell me as i would really like to know!

    • ANSWER:
      i think it would be very dependent on where both the fracture and dislocation occur. and what other structures are damaged in the process. fractures can damage a lot of the surrounding soft tissue and pierce the skin (compound fracture). a dislocation would also hurt a very large amount as well and soft tissue – ligaments, tendons and muscles are stretched and torn.

      as far as which causes more pain when you have both at the same time it doesn’t really work like that. the brain prioritises new signals over repeating ones – thats why staying still can help. also holding someones hand/rubbing it can reduce pain. the new signals can, to use a cliché, drown out the signals of pain.

      distraction itself is a very powerful analgesic as the brain filters more pain signals out. morphine also instructs the brain to filter more aggressively.

      hope this answers your query

    ORIF fracture and acute dislocation questions..?

    I suffered an open fracture and acute dislocation to my ight ankle around 2 weeks ago, which was treated with ORIF surgery. The break was really quite bad with the ankle joint shattered into numerous fragments of bone and I have plates and screws on both sides of my ankle. The dislocation was also severe, the blood supply was completely cut off and according to the surgeon, I was approx 15 minutes away from losing my foot. There was also obviously a lot of soft tissue/ligament/muscle damage.

    I now have a short leg cast and instructions to visit my treating physician in 6 weeks time, but no information has been given to me regarding recovery time or physiotherapy requirements.

    If anyone can give me any idea on approx recovery time (basically how long until I can return to work in hospitality involving being on my feet for 10+ hours) any information would be very much appreciated.


    • ANSWER:
      Six months recovery, however it probably may never be the same. Standing on the foot 10 hours with the swelling and pain of soft tissue injury and vascular damage

    Dislocated ankle 3 weeks ago, cast is pissing me off, can I take it off early?
    I dislocated my ankle (superior ankle dislocation) with NO fracture at all 3 weeks ago.
    They put me in a short leg cast and they said it would last 4 weeks.
    3 weeks passed and it’s pissing me off because I can’t drive and can’t climb the stairs.
    If I call the doctor, will they take it off a few days early?
    Can I take it off by myself? (Soak it in water and tear it off, no saw)

    • ANSWER:
      just schedule your appointment earlier they wont know.

    Is this a sprain, dislocation, or fracture?
    My brother was playing basketball and he landed on his foot funny. It swelled up right away. Now the swelling is down, but certain positions hurt. He says it feels like something is rolling around his ankle. It has been about a week. Does anyone know what’s wrong?

    • ANSWER:
      i don’t think its fractured probably eather sprained or dislocated if it hurts to to twist his foot than it most likely is sprained , wrap it up and but ice on it for 1 hour.

    How long does a dislocated/sprained/broken ankle take to heal?
    I had an ankle injury, and i cannot determine whether it is either a sprain, fracture, or a dislocation. it doesnt have pain like a fracture, it has the mildness of a sprain, and when i plant my foot on the ground and rotate my leg, it feels like it is dislocated. HELP? :’(

    • ANSWER:
      Each injury is different so there is not real answer or no good answer. I broke my ankle a year and a half ago and it is still not healed. So it depends on the break.

    how long does it take for an ankle bone bruise to heal? its been 3 weeks?
    ive had xrays, an mri and a cat scan….no fractures, dislocation, tears, sprain, strain, or stress fracture. its still swollen and im in a walking boot and on crutches and im taking meds.

    • ANSWER:
      Im takin meds too….. isnt it FUN. not my prescription but she must have had some pretty bad pain. lol lol

    Broken Leg in seven different places, open fracture. Lots of questions. Please help.?
    Ummm…..I broke my leg in 7 different places. Broken fibula in three different places. Broken Tibula in 3 different places. Ummm… i had a open fracture. and oh yah and a fracture dislocation in the ankle. Umm…i was wondering will i need surgery to fix it? How long will i need a cast? WIll i need a walking cast after words? Ummm…and how long will i need to stay in the hospital? How can you bath and shower in a cast? When i’m healed will i still have leg problems? If i do need surgery what will they do. Rods, screws, plates, and how many? Doc said something about when i’m done with all the healing that i’ll need a brace to were for the rest of my life. Was he joking or for real? Please help. Thanks. Best answer gets 10 points. Please, Please help.

    • ANSWER:
      Wolfy, I can only tell you that the orthopedist is the only source of solid information in this. You have provided no x-rays to see the severity of breaks. With that many the doctor is going to opt for the use of a rod to stabilize the tibia. The fibula might need an external fixation device to stabilize it if it cannot be done with the plate and screws. As for the use of a brace that would suggest that there was some nerve damage. Before getting freaked out about the use of a brace let me tell you there are braces that can hardly be detected. There are also systems being used that require no brace if it is for nerve damage. The brace for stability of the ankle is usually a very small one but again this is going to depend upon what is found when the doctor actually does the procedure. Being in a cast is going to be somewhere in the area of six to eight weeks and some of that is going to depend upon your age. The younger the faster one heals. As for the hospital stay that is going to depend upon what is ultimately done and the insurance program that you have. As for showering or bathing you are going to have to wrap the cast in plastic or shower with the leg outside of the tub. A bath would probably be easier to do as the leg could stay outside of the tub and you don’t have to worry about getting it wet. Whether or not you have leg problems is going to depend upon how successful the surgeon was in putting all of the pieces back together without causing a shortage on that leg. You are going to need physical therapy for the weakness coming out of the cast and for the restrictions in mobility of the ankle. Walking should not be a problem by the end of the rehab. Good luck in all of this and it will turn out okay.

    Ligament torn on ankle, need some advice!?
    Hello, I recently injured my ankle during an indoor soccer game. I went to visit the doc and went for an x-ray the x-ray report came back saying:
    unfused epiphysis consistent with age
    No obvious fracture or dislocation seen
    No soft tissue calcification
    Soft tissue/ligamentous injured cannot be excluded

    I have an important game coming up in 10 days and my legs seems to be getting better i can limp now after 3 days and the swelling has went down alot but it still is swelling a little bit i have been treating it by putting a cold pack wrapped around the injury and keeping my leg elevated when i sleep or sit. Is there anything i can eat or do to help speed up my recovery within 10 days? Its not a confirmed ligament tear but the doc said most prob it is but it might just be a sprain im not too sure. Advice and help needed thanks!

    • ANSWER:
      Have you bandaged it ? If not you definately should. Keep resting and icng it. There isn’t really much you can eat, just eat healthily and make sure you get plenty of calcium etc. Good luck !

    Hairline fracture?????
    ok so 4 yrs ago i broke my right ankle..yesterday i fell into a pit thing n my ankle rolled n it hurt when i twisted it or put pressure on it. i got a xray today and it said
    The ankle mortise is preserved
    the bony alignment is anatomical
    there is unfused apophyseal line alone the distal end of tibia and fibula
    There is no fracture or dislocation.

    it doesnt really say anything n im going to the doc tomorrow but i just want to know is it possible its a hairline fracture?

    • ANSWER:

    Pleaseee help with my ankle!!!?
    Hey guys…i had a subtalar dislocation/severe ankle sprain on jan 8. to my right foot. the doc put it back into place and said there was no fracture or broken bone…only severely sprained. I was put into a splint that day and a cast a day after. The cast was removed on feb 4. Once the cast was removed i had major swelling throughout my whole foot. its been 5 days since theyve taken it off and the swelling has decreased. My range of motion is very limited….but there is no pain when i try to move my ankle…its just very limited. I can do seated calf raises without pain. The thing is…when i get up and try to walk, i cant even take a step or even limp and walk…feels like my foot goes through the floor and is just unstable and weak. theres also this tingling feeling in my heel when i try to step and walk (but fail to even take a step). however, there is no in the heel. i have lately just been alternating cold and i need ice right now? what should i do? please help!!!
    i did go to the doc he said put it in hot water and put muscle rub creme on it after………..didnt mention ice…i dont know i just want to get it better as soon as possible…theres no pain but i can even walk and limp i dont know what it is…..
    sorry i meant i cant walk on it or limp. should i keep icing it and elevating it or should i just heat it…its still swollen but i heard only first 36 hours is when ice is good.
    thanks for answering guys…i was thinking heat and ice ending with heat/..???….should i also keep elevating it?

    • ANSWER:
      your ankle is probably just weak from lack of use–have you considered any physical therapy? I know that when i sprained my ankle (it was moderately severe, but it never went into a cast) my doctor told me to do a bit of physical therapy to improve mobility. As for what youre dealing with right now, the worst thing you can to is to over-exert yourself. Nothing hurts more than re-injuring your ankle. This is what i did for my ankle before it regained full movement (and mine did, so don’t worry about not being able to move it well now, eventually it will work fine again)–use crutches. I don’t mean keeping all pressure off your leg, but use them to help your movement, gradually applying more and more pressure to your injured ankle until it can move properly again. I sort of limped around on my crutches while my ankle got better after i had used them as a complete substitute right after my ankle was sprained. For you it mwill be a bit different–i never totally lost all movement in my ankle (as a cast does), so it will probably take you longer to recover. As for cold and heat, use heat (as your doctor recommended). cold is used primarily for right after the accident happened (chances are you iced your ankle after you sprained it), but heat is used to get stiff joints moving again. Not having any pain is a good thing–just keep at it, and eventually you will be able to walk fine on it.

      if you are able to, elevation usually reduces swelling (just lie on the couch with a couple of pillows propping up your leg), and you might want to try wrapping it/compressing in some thing which provides pressure, but still promotes movement, like in an ACE bandage, but not something that completely restricts movement like a splint–remember you want to ease yourself back into normal movements with it.

      As for hot/cold treatment, i would stop using ice, and instead listen to the advice you heard and try heat.

    ankle injury help please! not sure what is wrong?!?
    i hurt my ankle 4 and 1/2 weeks ago and its still swollen. i had xrays showing no fractures or dislocations. i had an mri showing no tear. i was told it was an ankle contusion. i was given an aircast and was told to use crutches lightly touching my toe to the ground. i am using a walking boot and crutches now and i still have swelling and pain. i was given a prescription for pain meds. i am going to the dr tomorrow again and he said i may need a cat scan. will i need a cast if theres no fracture?
    if i dont have a tear, is it still possible i have a sprain?

    • ANSWER:
      Although most folks associate a cast with a broken bone, they have other uses. In some cases they are just the ticket to provide support while things heal. Severe ankle sprains do sometimes benefit because a splint or cast will help hold the foot in position and prevent stress on the already injured tendons and ligaments. It’s not that unusual to see swelling and pain in a severe ankle sprain even a month out from the injury- especially if you have been up and moving a lot on it. Had they told you it was broken and put you in a full cast, you would have been more likely to stay off it. Instead, to your mind nothing is broken, so things should heal faster. It just doesn’t work that way though. The more you try to use that foot, the more often you are up on it and trying to force the issue, the longer it will take to repair itself. So you may end up in a cast, yes- as a means of forcing you to slow down on that foot and giving the ankle a chance to heal itself. The best thing you could do is to prop it up and stay off it unless you simply have to move. Even then, you want that to be for as brief a time as you can make it. Cast or no cast, if it doesn’t get the rest it needs, it’s going to take a long time to heal. And in that time, you will continue to suffer.

    Twisted ankle a month ago, but lateral malleolus still swollen and feels hard?
    I twisted my ankle about 4 1/2 weeks ago, i went to the doctor and got xrays done, no fractures or dislocation. But Xray did show severe soft tissue swelling over lateral malleolus bone, the bone that sticks out on the side of the ankle. Most of the swelling on the foot has gone away, i can wear some of my normal shoes, and i can walk almost normally. But there is still swelling over lateral malleolus and the swelling feels hard. How long will the swelling take to go away and why does the swelling feel hard? Any assistance is appreciated.

    • ANSWER:
      If it still hurts after 4 weeks you could have some type of torn ligament or split tendon or bruised bone: none of which can actually be seen through an x-ray.

      Only an MRI can see those weird little tears. Most Doctors don’t even realize when they examine you.

      If you had obvious bruising that can also be a sign that it’s more than just a twisted ankle.

      A twisted ankle should be healed by now— consider another visit to your Dr.

      All of the tears I mentioned can cause scar tissue to build up under the skin— this scar tissue could be the hard lump-like swelling you described— which can remain under the skin for months or years but isn’t dangerous in any way— it just makes the ankle look puffy and lopsided.

    Will I be able to walk after ankle surgery?
    I fractured and dislocated my ankle about 8 weeks ago, and I got a screw inserted into my ankle to fix the dislocation. The doctor told me not to put weight on my ankle because he says weight on the ankle may cause the screw the break.

    I am getting the screw removed next week, making it 9 weeks since my injury. Will I be able to walk immediately after the surgery? If not, how long after the surgery will I be able to walk?

    I don’t really care if I have a limp– I just want to know if I’ll be able to get around without crutches once school starts!


    • ANSWER:

    Broken Ankle Recovery Time?
    I badly dislocated & fractured my ankle in a car accident last October when my foot got trapped in the pedals. Because the hospital i was taken to didn’t have an Orthopedic surgeon i was just put in plaster instead of having pins or plates inserted. Now four months on i am able to put weight on my ankle but its still bruised, swollen & i have a very pronouned limp ( a section of bone was also chipped off my ankle in the impact & i suffered ligament damage through the dislocation) . Even though i am now having physio its no better now than two months after the accident when i had the plaster removed & the physio cannot do too much as it is still too swollen to get any real movement, walking is difficult as it gets too painful after a short time. Is this normal after four months or should i ask for a second opinion on my ankle at the hospital. How long should broken ankles take to heal to a point where you can walk without too much pain ?

    • ANSWER:
      Wow, your condition sounds incredibly painful and I’m sorry that happened to you. The hospital should of put you in temporary plaster and transferred you immediately to another hospital with a surgeon who could sort it. Personally I’m shocked and disgusted they didn’t have a right surgeon or even rang for one never mind they just stuffed you in plaster. I think you should find a lawyer and another hospital to get a second opinion. What that hospital did was wrong and they should be sorted out to prevent this happening to other people. From what I know (and I’ve broken several limbs in the past) any bone, depending on age, should repair itself in about 4-6 weeks, the younger, the faster. To be honest, I think you should get help immediately!

    Fractured my ankle 3 days ago?
    they thought it wa sjust a sprain but i went today and said it was fractured and i asked my doctor when until it gets healed he said about a week but now im hearing on here thats its like 6 weeks?? n im oging to get something like a cast tomorrowfrom the doctor…no dislocations or anything but just fractured

    • ANSWER:
      it depends how fast you heal.

    What’s wrong with my knee?
    As I made a sudden lateral change in direction, my knee made a grinding noise and feel. Afterward, it wasn’t swollen right away and I walked perfectly fine, though it didn’t feel reliable enough to continue playing. It took a day to swell and another day for the swelling to subside.

    After two weeks of rest, I am limited to walking straight and it feels like my knee locks if I try to go down stairs. It feels like a thigh muscle gets caught on something above the knee area. This makes a popping noise which may occasionally bring pain. Popping also occurs sometimes during random extensions and contractions.

    I spent nearly two years being athletically immobile due to a compound fracture and dislocation to my ankle during prep days and am terrified of the hospital. Would anyone know quite possibility what it is and it’s severity? Thanks in advance.

    • ANSWER:
      More than likely you have patella femoral syndrome, it is the most common cause of anterior(front) knee pain.

      Patella femoral syndrome is caused by an imbalance in your quadriceps(muscles in your thigh) two of the muscles in your thigh work together to pull your patella(knee cap) up a groove in your femur(thigh bone), but sometimes one will start pulling more than the other and grind your patella into your femur. Symptoms include pain located on the sides of the kneecap, discomfort under the patella, sometimes mild swelling and occasional popping of the knee. Running, sprinting, jumping, going up and down stairs, and squatting are all things that can increase patella femoral pain. Anyway it is know by many names: runner’s knee, jumper’s knee, swimmer’s knee, etc. I have a way to get rid of it, doesn’t involve surgery or taking medicine just dedication on your part. If it turns out that this is what is wrong and it continues to bother you just leave a comment at the bottom of your question or email me and I will give you the

    ankle injury?
    doctor said it was a contusion but ive had swelling, pain and stifness for 2 weeks. i had an mri and xrays; no fractures, dislocations, or tears. ive been on crutches for 5 days but no relief yet. also have worn and air cast and got nsids

    • ANSWER:
      Sprains actually take longer to heal than breaking the bone! … Give it time and follow your doctors directions. To help alleviate the swelling elevate the foot above heart level as much as possible and take the medication as directed.

    What’s wrong with my ankle?
    Okay, for two years now I’ve been having a pain in my ankle. It feels like someone is playing tug of war with my tendon or there is a huge knot in my tendons and muscles. I’ve seen 6 doctors, all with either no response or just plain stupid ones. For instance, two gave me shoe inserts. Neither of the inserts actually worked. Also, many of them just talked doctor without a real explanation. Nearly all of them told me, instead of what it is, what it’s not – a break, a fracture, a sprain, tendonitis – one told me he thought it was a peroneal tendon dislocation but when he tried to get it to go back over my ankle, it wouldn’t. I looked into this and had many of the symptoms and eventually did go back over, but my mom (I’m 13) will NOT take me to another doctor. Every time i complain she just says ‘i know, i’m sorry’ but she does NOT know, and is doing nothing to help. Anyway, the pain feels terrible and is constant- when I’m sitting down, when I’m playing sports, doing anything really- and there is no swelling or bruisiing. However, when I rotate it I get a series of clicks and pops and grinds and it is painful.
    Does anyone know what this is? Please help!
    Forgot to say where the pain is- On the outside of my ankle between my heel and my ankle bone and on the front outside of my ankle towards the right of my ankle bone (It’s my left ankle that hurts).
    Please help!
    *hits stage of begging*

    • ANSWER:
      The popping sounds are air being shifted around. Its the same as cracking your knuckle just air being forced out of the joint. If its going on for a long time then its probably to do with the ligament as there’s not much blood flow where the ligaments attach to bone and thus is takes ages for a torn or damaged ligament to heal. Some ligaments serve to stabilise your ankle joint so it fits the symptoms. The best treatment is to rub it as much as possible to get the blood to flow round it. You might try a TENS machine as they are very cheap and effective at moderating this sort of pain. The main problem with ankle injuries is that they need so much rest and yet somehow you have to get on with your life. You might find you need to resort to crutches for a few weeks in order to give it total rest.

    Bad ankle pain after 2nd degree sprain 3 weeks ago shall I go back to the hospital?
    About three weeks ago I rolled my ankle really badly jumping off a 2ft ledge, I could not move my ankle so an ambulance was called. The paramedic was convinced it was a dislocation so I was transported to hospital. I was x-rayed and told there were no fractures and I hadn’t dislocated it they weren’t sure what it was so I was given crutches and told to go back in 5 days. I went back still not weight bearing at all, I was told it was a 2nd degree sprain and that I had to have physio and try and weight bear. I had one session of physio and was supposed to have more but have not heard anymore about that. I can weight bear now and am back to all of my usual activities but I still have pain that is very unpleasant. When swimming the pain is very bad. I was told at the hospital to go back if it gets worse or I am concerned about it, should I got back or not?
    I am a 13yr old girl if that’s of any relevance whatsoever.
    thank you in advance
    St John Cadet

    • ANSWER:

    When you retired with all the injuries would you have still played if you had it all over again ?
    I’m 35 and have just hung up the boots – AGAIN ! To many prior injuries, Monday’s are tough ! over the years i’ve had numerous 2nd & 3rd dregree ankle sprains – both ankles they blow up if I stand to long after a hard run ! knee surgery twice plus an arthroscope. Fracture sternum and clavicle (collar bone), broken radius & Ulna left forearm – twice ! Open dislocation left elbow with detached brachial Artery requiring veiness grafting from left groin ! (Still all good down there though !) Lumbar Vertabrae sometimes misaligned – not too bad though, broken nose (customery) numerous cuts to cheek bones and eye lids.
    I think it is time to just remember the playing days ! How many injuries have you had (or a friend or husband etc…) and would you do it all again ?

    • ANSWER:
      Sir, my hat’s off to you. I’m 19 and playing in college and have had my fair share of trips to the emergency room. and the looks on the staffer’s faces when i smile and tell them i got it playing footy. But There is nothing that would make me look back on my experiences playing ball with my mates and think it wasn’t worth it.

    A 14-year-old is seen in the office for a 70 minute assessment of the child’s attention span. The child is exp?
    A 14-year-old is seen in the office for a 70 minute assessment of the child’s attention span. The child is experiencing increasingly severe episodes of daydreaming. The physician conducts a clinical assessment of the child’s cognitive function. What is the cpt for this

    Provide diagnosis and procedure codes for each of the case studies below in a Word document and submit your file.

    CASE 1:

    Location: Outpatient clinic



    The tissue of both breasts is heterogeneously dense. This may reduce the sensitivity of mammography. No significant masses, calcifications, or other findings are seen in either breast.


    There is no mammographic evidence of malignancy. A 1-year screening mammogram is recommended.


    1. Screening Mammogram. Answer: _____


    1. Mammogram. Answer: _____

    CASE 2:

    Location: Outpatient hospital


    EXAMINATION OF: X-ray of left ankle

    CLINICAL SYMPTOMS: Charcot joint

    LEFT ANKLE RADIOGRAPHS, 2:05 PM: Three views were submitted of the left ankle. No prior studies. There is some soft tissue swelling adjacent to the distal fibula. Plantar catcaneat spurring is seen. There are radiopaque densities seen along the plantar aspect of the foot, including hindfoot and midfoot. Question if there is overlying bandage with radiopaque densities or that could relate to soft tissue calcifications. Suggest clinical correlation. No obvious acute fracture or dislocation is seen. Suggest clinical correlation regarding further assessment of the foot with left foot radiographs.


    1. Charcot joint disease. Answer: _____, _____


    1. X-ray of left ankle. Answer: _____

    CASE 3:




    The specimen is labeled with the patient’s name and “prostate,” which consists of approximately 27 gm of pink-tan rubbery prostate fragments. Representative sections in 10 cassettes.

    Sections of prostate show both glandular and stromal nodular hyperptasia. Focally, glands show variable cystic dilatation, basal cell hyperplasia and there are focal mild acute and chronic inflammatory infiltrates. A few fragments show prostatic urethra with benign urothetium and mild chronic inflammatory infiltrates. There is a focus of infiltrative single, separate, loosely packed, small uniform tow grade malignant glands with slightly enlarged hyperchromatic nuclei with nucleoli, with some cautery artifact, involving less than 1% of the specimen.

    Transurethral resection prostate:

    Focal adenocarcinoma, primary Gleason grade 2, involving less than 1% of the specimen and adenomyomatous hyperplasia with mild acute and chronic inflammation.


    1. Adenocarcinoma of the prostate. Answer: _____


    1. Transurethral resection of prostate, pathology. Answer: __

    Need help answering these questions

    • ANSWER:
      Ehh is this homework?

    I put a va claim for:?
    Flat feet
    shoulder dislocations
    dislocated ankle
    chipped elbow
    fractured hand
    arthritis in both knees
    arthritis in both wrists
    lower baclk pain
    adjustment disorder…..

    anyone have an idea of what i might get. Thanks

    • ANSWER:
      You can put in a VA claim for anything……best to do it all at one time immediately after getting out of the service so your medical records are available.

      They will probably not give you any rating for problems that you had that were resolved. For example, the dislocated shoulders and ankle did not stay that way. They were put back into place an you probably have no residual problems related to them. Unless you are really young the arthritis will be chalked up to normal aging and not service connected. The other problems will be rated and you will be examined to see if they cause you any problems. For example, the chipped elbow may not be causing you any problems at all and the only reason you know about it is due to an x-ray…. Back pain without any x-ray evidence of cause is also pretty weak. The adjustment disorder if treated in the service and continued over into civilian life might get you 30%….

    Please help me..i dont understand my xrays?
    ok so I got a xray done on my right ankle which i broke 4 yrs ago n the report said..
    The ankle mortise is preserved
    the bony alignment is anatomical
    there is unfused apophyseal line alone the distal end of tibia and fibula
    There is no fracture or dislocation.
    Sorry i no its alot but if u now wat any of them mean plz let me finding it hard to walk and i dont no wat to do!!!!!!!!!!!!!!
    i meant that i broke it 4yrs ago n i injured it yesterday n i had an xray today!
    and if u must no i havent gone to the doctors yet..he wasnt in!

    • ANSWER:
      next time listen when the doctor explains something to you instead of daydreaming about yahoo answers

    I’ve got pain on the outer side of my left foot and slightly on the top. What can I do to ease this please?
    I had an xray done on my foot today and was told there’s no break, fracture or dislocation. My foot is painful all the time and it’s really difficult to walk.

    The pain is about 2 inches up from the tip of my little toe and on the top outer edge where the toe bone is but the pain is also at the side of the foot and it’s now causing the whole of the top of my foot and part of my ankle to hurt when I point my toes down and hurts more towards the ankle when I bend my foot up. I haven’t gone over on the foot, twisted it, or knocked it. I was only walking at the time when I began to feel the pain and it’s got worse over the period of a couple of weeks. I’m even in pain at night now due to having a heavier quilt on the bed, which weighs down on my foot causing me to wake up in the night. I don’t know what to do other than keep using tubular bandage and put painkilling gel on and take painkillers, as I don’t know what the problem is and was given no advice by the doctor at A & E other than to keep taking painkillers!.

    Have any of you had the same problem? If you have let me know what you did to help it to get better, please – I’m in agony and it’s making me feel really miserable now.

    Thank you. x

    • ANSWER:
      Gout is a condition affecting the joints, most commonly found in the big toe. 2ins from the tip of the toe- you mean from the toenail end? There is a joint around there, but the other main option is it could be a tendon problem as you have tendons running from the muscles above the ankle to the the toe. You could try gently poking around on the uninjured foot to see where the tendon runs and then see if that’s where the injured foot hurts. Tendon injury can take weeks to heal properly- if you can afford it you could find a physio who can treat you and give you exercises to help speed it up. But apart from that, comfy shoes and rest it as much as poss. Ibuprofen will help reduce any swelling if there is any. Try your gp for an explanation, you may have more luck with them than A&E

    Whats wrong with my foot?
    Its been about a week since i fell on my ankle pretty bad and we think its just a sprain. I went to the doctors and they took an x-ray and said it isn’t a fracture or dislocation. However, after a week of resting it the swelling has not gone down very much at all on my whole foot. it is still very swollen and hurts if i put hardly any weight on it. There is a large bruise on the bottom of my foot and a smaller one on the side of my ankle. It doesn’t hurt at all if i touch or squeeze it anywhere, only when i move it up and side to side. any ideas what i might have? How long will it take to fully heal?

    • ANSWER:

    what do my MRI results mean?
    it says :
    Multiple sequences in multiple planes through the right ankle demonstrate diffuse osseous edema within the tail is with a 7mm osteochondral defect within the lateral talar dome posteriorly. Given the amount of edema within the talus and subtle oblique linear decreased signal intensity on t1 coronal image 12 extending from the superior lateral aspect of the talus to the inferior medial aspect is concerning the possible a nondisplaced fracture. Remaining osseous structures are negative for fracture, dislocations, lytic or posteriorly to the tibial talar joint.

    • ANSWER:
      Basically I think that what it is saying is that because of the amount of edema (swelling) in one certain area, there is the possibility of a small fracture in which the bones don’t seem to have moved out of place at that area, but no other indications of a fracture. Amazing how they feel the need to write these things in such complicated language.

    What discharge should I get?
    I came in the army in the summer of 2008. Since Feb, 2009 I’ve had some medical issues that kept me on profile since right about now. In february, i sprained my ankle. In March, I fractured my foot during a PT test. After about 2 weeks of being on profile, I went back to the medical center because my right hip was hurting. My doctor said that I had anterior impingement syndrome in my hip, and put me on 4 months of physical therapy. Right after physical therapy finished, my appendix ruptured and I had to have surgery. About 2 months went by and I had pain in my lower LEFT stomach area. The surgeon confirmed that I had an incisional hernia and had it repaired. It’s been about 1.5 months after my hernia repair and my stomach is still in constant pain. The ultrasound tests at the hospital show nothing, and I’m trying to have an MRI done.

    I was confronted by my platoon sergeant of the late deployer platoon (my unit just went to afghanistan about 3 weeks ago) being accused of malingering and if I have any more medical issues then I’ll be facing a court martial. I think it’s BS since I haven’t gotten any counselings or anything regarding it, but part of me is just worried.

    He asked me when I joined up, and I told him the date. He said to me “You know, right after you joined up there was a huge investigation being done because recruiters and MEPS were pushing people through that didn’t qualify, and now the Army is at 160% strength so a discharge wouldn’t be a problem” I had then told him what happened at meps where I would tell them about my knee issues (multiple dislocations but never sought out medical attention for them) and the fact that I have exercise-induced asthma. Every time i told a doctor at MEPS that I had a medical condition, they’d ask me if it bothered me in the last few days. I told them not particularly, and they told me that they never heard anything I said and would move on.

    I was diagnosed with sports-induced asthma and my prescription even says to take before doing PT. My hip is still bothering me, and my stomach is still giving me issues post-surgery. What discharge could I be expecting? I turned in my paperwork from MEPS and the recruiter to him the other day, and he said that part of the process is to be sent for a fit-for-duty assessment and medical examination. They’re telling me I should request to go before the medical board to my provider at the medical center.

    What should I do and what chapter would I most likely be discharged under?

    • ANSWER:
      Why would you want to be discharged. In the military you have stability. I’m telling you from personally experience that there is no jobs out here in the real world, this is why I joined the army. Ask your Sergent can he give you 30-60 days to recover and you will join them overseas, even offer to stay a few extra months. I promise you regret it.

      At least while you are in you got the military insurance to pay for you medical bills, give you a steady pay check, and a career. Do not just give up on your career this easily. Fight for it….