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Ankle Fracture in Children


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

Foot Anatomy


Seek care immediately if:

  • Blood soaks through your child's bandage.
  • Your child has severe pain in his ankle.
  • Your child's cast feels too tight.
  • Your child's cast breaks or gets damaged.
  • Your child's foot or toes feel cold or numb.
  • Your child's foot or toenails turn blue or gray.
  • Your child's swelling has increased or returned.

Contact your child's healthcare provider if:

  • Your child's splint feels too tight.
  • Your child has a fever.
  • You see new blood stains or notice a bad smell coming from under the cast or splint.
  • Your child has more pain or swelling than he did before the cast or splint was put on.
  • Your child's pain or swelling does not go away, even after treatment.
  • You have questions or concerns about your child's condition or care.


  • Pain medicine may be given. Ask your child's healthcare provider how to give this medicine safely.
  • Give your child's medicine as directed. Contact your child's healthcare provider if you think the medicine is not working as expected. Tell him or her if your child is allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs your child takes. Include the amounts, and when, how, and why they are taken. Bring the list or the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency.
  • Do not give aspirin to children under 18 years of age. Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.

Follow up with your child's healthcare provider in 1 to 2 days:

Your child's fracture may need to be reduced (bones pushed back into place) or he may need surgery. Write down your questions so you remember to ask them during your child's visits.

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.


Have your child rest his ankle so that it can heal.


Apply ice on your child's ankle for 15 to 20 minutes every hour or as directed. Use an ice pack, or put crushed ice in a plastic bag. Cover it with a towel. Ice helps prevent tissue damage and decreases swelling and pain.


Ask if you should wrap an elastic bandage around your child's ankle. An elastic bandage provides support and helps decrease swelling and movement so your child's ankle can heal. Have him wear the elastic bandage as directed.


Have your child elevate his ankle above the level of his heart as often as he can. This will help decrease swelling and pain. Prop his ankle on pillows or blankets to keep it elevated comfortably.

Elevate Limb (Child)

© Copyright IBM Corporation 2018 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 IBM Watson Health

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.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Learn more about Ankle Fracture in Children (Discharge Care)

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