Patients usually present themselves in pain, following a sprain or after a fall or jump. Motorcycle or car accidents are also frequently responsible for these kinds of injuries. Common courses of treatment involve immobilising the foot with a cast for around 30 days, after which significant muscle atrophy in the leg will be evident.
Again, X-rays are extremely important for diagnosis. Once the Case Manager has verified that the fracture has consolidated, and the heads of the bones are correctly juxtapositioned, rehabilitation can begin.
The rehabilitation programme will start with very light load and progress steadily until crutches are no longer needed. Before rehabilitation on the field can begin, the patient must have a full range of motion, fluidity, proprioception and good muscular strength in the lower limb.
If osteosynthesis techniques have been used, the rehabilitation programme does not change significantly, however loading exercises may begin sooner, decreasing the overall length of the process.