How common is ankle swelling in ankle fracture?

Swelling may surround the ankle or extend into the foot, and it can make shoes or movement uncomfortable. Its amount does not show how serious the fracture is, and swelling can also follow a sprain or other injury. A clinician uses the injury history, examination, and usually imaging to determine whether a bone is broken and whether the ankle needs protection or specialist treatment.

Avoid walking on the injured ankle unless a clinician has said it is safe. Keep the foot raised when resting, and use a cold pack wrapped in cloth for short periods if that feels helpful. Do not place ice directly on skin or try to straighten a visibly abnormal ankle. Remove tight jewellery or footwear before swelling increases, if this can be done without moving the injury.

Get urgent assessment after a significant injury, especially if you cannot bear weight, pain is severe, or the ankle looks bent or out of place. Emergency care is needed for toes that become pale, blue, cold, numb, or difficult to move. Increasing tightness, rapidly worsening swelling, or an open wound over the injured area also needs prompt attention.

Do I need imaging to check for a fracture? Should I keep weight off the ankle, and for how long? What support or cast is appropriate? How should I monitor swelling, skin colour, sensation, and toe movement at home?