Ankle Fracture In Children

WHAT YOU SHOULD KNOW:

Ankle Fracture In Children (Inpatient Care) Care Guide

An ankle fracture is when 1 or more of the bones in your child's ankle break.

CARE AGREEMENT:

You have the right to help plan your child's care. Learn about your child's health condition and how it may be treated. Discuss treatment options with your child's caregivers to decide what care you want for your child.

RISKS:

  • Your child could get an infection if he has an open wound or has surgery. Even after treatment, his ankle may not go back to the way it was before. Your child may have discomfort and problems walking if he has to wear a cast.

  • Without treatment, your child's injured ankle may grow differently from the other ankle. His injured ankle may be shorter or bigger than the other one. The injury can cause problems with walking and activities, such as sports.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.

Emotional support:

Stay with your child for comfort and support as often as possible while he is in the hospital. Ask another family member or someone close to the family to stay with your child when you cannot be there. Bring items from home that will comfort your child, such as a favorite blanket or toy.

Medicines:

  • Pain medicine: Your child may be given medicine to take away or decrease pain. Do not wait until the pain is severe before you give your child his medicine.

  • Td vaccine: This vaccine is a booster shot used to help prevent diphtheria and tetanus. The Td booster may be given to adolescents and adults every 10 years or for certain wounds and injuries.

Tests:

  • X-ray: This is a picture of your child's ankle fracture. He may be given dye as a shot into his ankle joint before the x-ray. This dye will help his joint show up better on the x-ray. A joint x-ray with dye is called an arthrogram.

  • CT scan: This is also called a CAT scan. An x-ray machine uses a computer to take pictures of your child's ankle. Caregivers check for a fracture and tissue damage. Your child may be given dye in his IV to help caregivers see the images better. Tell the caregiver if your child is allergic to dye, iodine, or seafood.

  • MRI: This scan uses powerful magnets and a computer to take pictures of your child's ankle. An MRI is used to look for ligament tears or other injuries. Your child may be given dye in his IV to help caregivers see the images better. Your child will need to lie still during his test. Never enter the MRI room with any metal objects. This can cause serious injury.

Treatments:

  • Support devices: Your child will be given a brace, cast, or splint to limit his movement and protect his ankle. Do not remove your child's device. He may need to use crutches to decrease his pain as he moves around. He should not put weight on his injured ankle.

  • Closed reduction: This is when caregivers put your child's bones back into their correct position without surgery. Ask your child's caregiver for more information about a closed reduction.

  • Open reduction: This is done when a closed reduction does not work or your child has ligament damage. An incision is made and the bones and ligaments are put back in the correct position. This may include the use of special wires, pins, plates or screws. Ask for more information about an open reduction.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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