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Rolled my ankle. X-ray showed stress fracture. MRI report came normal. Why swelling?

So. I rolled my ankle at volleyball camp 2 years ago, rolling it inwards. It was swollen really big for about 3 months before going down to being just slightly swollen, but consistently swollen. Now about once a week or so, my ankle will catch in the back of my ankle, and it hurts to flex up and down. It s not so much pain that I can t walk, but it is of an annoying sort of pain and gives me limited movement before going back to normal , which happens anywhere between 10 minutes later, to the next morning when I wake up. This usually happens when jumping, on uneven ground, or if I sit down on the ground for a long time, generally during volleyball practices or hikes. So far I have gotten two X-rays, one showing a small stress fracture that has long since healed. I also got an MRI , not showing up anything too unusual, and an ultra sound on my ankle, again, nothing too weird. The only thing the doctor s really found was that my ligaments are slightly looser on my injured ankle, but they ruled that out as the catching problem . I have seen my RN, a family physician, a sports med doctor, an orthopedic surgeon, and been to someone at the Children s Hospital, and none know what is causing this. A REALLY tight tape job usually helps it stay in place, but Active Ankle ankle braces don t prevent the catching , but prevent rolling, which happens occasionally. They have ruled out loose cartilage , my ligament catching on a small fracture of some sort, or trouble with my peroneal tendon . Any suggestions or theories? We re stuck, and I m heading off to college next year hoping to compete in club volleyball. Help. -MJ
Asked On : Thu, 24 Jan 2013
Answers:  1 Views:  102
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Spine Surgeon 's  Response

The problem of this sort of pain post ankle twisting is usually due to lax ligaments on the lateral side or due to anterolateral ankle impingement from the scar tissue.

Stress xrays can show evidence of unhealed or lax ligaments when compared to your normal side.
Lateral heel wedges or tapes can help. If continued symptoms with confirmed lateral laxity on x rays, there are procedures to correct the same by surgical ligament reconstruction.

If it is due to impingement, an arthroscopic debridement can help.

Try contacting a ankle and foot surgeon, for examination and opinion.

You can contact me for more details.

Answered: Fri, 25 Jan 2013
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