There is no swelling in the ankle region
It is believed that the ankle is the most vulnerable placein the human body. And this is not surprising, because what part of the leg this day is exposed to. The most common time for an ankle dislocation is the winter period, especially the icy conditions. Dislocation can occur in the most standard situation: not so put his foot, stumbled, slipped. Dislocation of the ankle occurs when the bone is pushed out of the joint, resulting in damage to the ligaments that strengthen it.
Degrees of severity and symptoms of ankle dislocations
The dislocation of this part is divided into several degrees - easy, medium and heavy:
- during mild degree of sprain. In this case, the affected area swells and moderate pain is felt;
- at an average degree of a ligament partially rupture, the edema increases, the temperature in area of a joint raises, painful sensations amplify;
- a severe degree is characterized by a complete rupture of ligaments, which is followed by a click and the bone is pushed out of the usual place.
Rupture of ligaments with a dislocation in the ankle
The most characteristic symptoms of such trauma asdislocation of the leg in the ankle region are: a sharp pain (the main difference from the fracture, a characteristic pain is characteristic for the fracture), an increase in temperature in the damaged area, swelling, the shape of the joint changes, and the impossibility of motion by the injured leg. When trying to make even the slightest movement, the pain will only increase, so you need to give the sick limb the maximum rest.
Another dislocation of the ankle joint can be: external; internal; complete and incomplete. With external dislocation, the distal fibula comes out of the joint bag. With internal dislocation, the distal part of the tibia is displaced. Full dislocation - complete discrepancy of articular surfaces. Incomplete dislocation - partial discrepancy of articular surfaces.
First aid for a victim with an ankle dislocation
First of all, you need to give peace to the damagedleg and try to move it as little as possible. To give it an elevated position, it can be done with a roller or a folded blanket. A raised position is necessary to minimize joint swelling. Next, you need to apply cold to the sore spot. To do this, you can use an ice pack, or a simple piece of frozen meat from the freezer, after wrapping it with cloth. Ice should be applied no more than fifteen minutes per one set. The procedure itself should be repeated for several days.
It is very important to provide first aid correctlyfix the damaged joint. To do this, you must apply a tight bandage or wrap it with a flexible bandage. But do not overdo it and tighten it too tight, it can contribute to the disturbance of the circulation of the foot, and even its necrosis. To prevent this, during bandaging you need to monitor the color of the skin. You can also test the sensitivity of the skin by touching your finger on the foot.
Imposition of a tight bandage with ankle dislocation
Make a final and correct diagnosiscan only a doctor-traumatologist or surgeon. Therefore, in no case it is impossible to independently adjust the dislocation, this is exclusively medical manipulation. After first aid, it is necessary to deliver the victim to the nearest department of surgery or traumatology. He immediately sent to the radiography of the damaged joint, the doctor examines the palpation site of the affected area, and already on the basis of these data will put an accurate diagnosis.
After the diagnosis is made,the affected will correct the dislocation. Before you go to the hospital you need to try not to eat, it is likely that you may need anesthesia, and it is carried out only on an empty stomach. Correction is best done within a few hours after the injury, and it may take a long time to rinse the stomach.
To fix the joint, a gypsum is applied, whichthe patient wears for two to three weeks. To avoid re-injury, he is forbidden to step on the plastered leg. If the patient is concerned about severe pain, the doctor will prescribe painkillers and anti-inflammatory drugs. These include: analgin, aspirin, ibuprofen.
Plastered gypsum with a dislocated leg in the ankle
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It is very important to inform in a timely mannerthe doctor in charge of the presence of any disease, and you need to do this before he prescribes medication. Some drugs, usually used for dislocations, can harm if the victim has a pronounced gastritis, ulcer of the duodenum or stomach. In these cases, the doctor with special care appoints drugs.
Very good for relieving pain,irritation, puffiness, helps to apply ointment to the affected area. Usually prescribe ointments containing anesthetics and anti-inflammatory. For example, such ointments as indovazin, voltaren, fast-gel, fastum-gel, diclofenac-gel, ketoprofen and others help very well.
Indovazin is one of the drugs used to dislocate the leg in the ankle region
In the treatment of dislocation of the ankle joint, a largeattention is paid to physiotherapy procedures. This phase of treatment begins only after two to three days after repositioning the joint. A special complex of exercises, which helps to restore incomplete and pain-hindered movements, belongs to physiotherapy exercises. Thanks to regular exercises, the damaged tendons, ligaments and muscles are restored much faster.
Also very well affects the affected area massage. This procedure, in addition to pleasant sensations, also contributes to the influx of blood to the injured vessel and restores the blood flow of the site.
Do not interfere with the recovery and physiotherapy,such as UHF, paraffin therapy, warming up, but the main emphasis should be placed on physical education. If ligaments have been damaged during dislocation, the most actual exercises will be those where one needs to keep balance. For example, exercises on balance boards or pillows.
Quite often this dislocation is usedfolk methods of treatment, in other words - phytotherapy. The most popular in this area are compresses with tincture of tansy, green tea, vodka compresses. Use these compresses only after three days, after the injury.
With regard to preventive measures,special attention they need to give to athletes, it is they who most often encounter this type of dislocation. Before you start directly to exercise, you need to do a preliminary warm-up, warm up your muscles. Well strengthen muscle ligament stretching exercises, warmed muscles are not so prone to any damage. Lovers of high heels should not overload their feet, if they are tired of going - sit down, rest. And in no case, you can not run in them, jump. All this is fraught with a dislocation of the ankle joint.
Comfortable footwear is an important point in the prevention of dislocations
Also, with caution, you need to select children's shoes, and if possible, choose shoes with a high back, it very well fixes the foot in the correct position.