I suffered an avulsion fracture to the dorsal neck of my left talus approximately 6 weeks ago. It was treated as a third degee sprain with full weight bearing and light activity as tolerated. At 5 weeks post injury, I was still experiencing pain and swelling and a further xray was undertaken to determine if there was some other injury. The xray report indicated there was 'a suggestion of some progression toward healing' and that the 'fracture line does remain visible'. It is now 6 and a half weeks since the injury and I am still suffering significant swelling, pain on palpation over the left lateral aspect of the left foot anterior to the lateral malleolus, pain with walking, and pain at night. I continue to walk and ride my bike as much as I can. I am self treating with massage, and stretching exercises. My physiotherapist is seeking further advice as the ankle is still too painful for her to treat in any manipulative way.
When I was first assessed by the orthopaedic consultant, he looked at the xray, did not examine my foot and told me to start weight bearing immediately. I am concerned that something has been missed in the initial assessment. Or am I being impatient? Is this a normal recovery pattern and treatment for this type of injury? My physio has sent the second xrays back to the orthopaedic consultant for his opinion. This was over a week ago and I still haven't heard anything. I think he might think I am being pathetic!
you are right to be concerned fractures are often missed on initial x rays its possible you have fractured the lateral process of the talus a nasty fracture that is often missed if fractures of the ankle are not treated properly the result can be significant long term disability make sure you are getting the best treatment even if you have to change doctors from what i know an avulsion fracture should be placed in a cast until the fragment has reunited in its proper place.