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Ankle Fracture In Children

WHAT YOU NEED TO KNOW:

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

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 may be given. Do not wait until your child's pain is severe before you ask for more medicine.

Tests:

Your child's healthcare provider will ask about his injury and examine him. An x-ray, ultrasound, CT, or MRI may show a fracture, tissue damage, or other injuries. You may be given contrast liquid to help the fracture show up better in the pictures. Tell the healthcare provider if you have ever had an allergic reaction to contrast liquid. Do not enter the MRI room with anything metal. Metal can cause serious injury. Tell the healthcare provider if you have any metal in or on your body.

Treatment:

  • Support devices , such as a brace, cast, or splint may be needed to limit your child's 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 may be done to put your child's bones back into their correct position without surgery.
  • Open reduction surgery 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.

RISKS:

Even after treatment, your child's 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. Your child could get an infection or bleed more than expected if he has surgery.

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.

© 2016 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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