Ankle fractures

Around 10% of ankle fractures are sports-related.[4]Court-Brown C, McQueen M, Tornetta P 3rd. Ankle fractures. In: Tornetta P 3rd, Einhorn T, eds. Trauma, orthopaedic surgery essentials. Philadelphia, PA: Lippincott Williams and Wilkins; 2006. Basketball players are especially prone to this injury. Lace-up ankle braces have been shown to be effective in the prevention of ankle injuries during basketball.[18]McGuine TA, Brooks A, Hetzel S. The effect of lace-up ankle braces on injury rates in high school basketball players. Am J Sports Med. 2011;39:1840-1848. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3213051 http://www.ncbi.nlm.nih.gov/pubmed/21795671?tool=bestpractice.com

If it is found that the patient has osteoporosis, pharmacologic measures may include bisphosphonates and parathyroid hormone analogs.[88]Compston J, Cooper A, Cooper C, et al. UK clinical guideline for the prevention and treatment of osteoporosis. Arch Osteoporos. 2017 Dec;12(1):43. https://link.springer.com/article/10.1007/s11657-017-0324-5 http://www.ncbi.nlm.nih.gov/pubmed/28425085?tool=bestpractice.com ​ Further measures include removing trip hazards in the home and reevaluating the need for medications that may cause syncopal episodes. See Osteoporosis.

Patient counseling as regards smoking cessation is also undertaken.[89]Hernigou J, Schuind F. Tobacco and bone fractures: a review of the facts and issues that every orthopaedic surgeon should know. Bone Joint Res. 2019 Jul 5;8(6):255-65. https://boneandjoint.org.uk/article/10.1302/2046-3758.86.BJR-2018-0344.R1 http://www.ncbi.nlm.nih.gov/pubmed/31346454?tool=bestpractice.com ​ See Smoking cessation.